Ali Reza Jamshidifard, Simin Najafgholian, Hamid Gerami,
Volume 4, Issue 3 (10-2001)
Abstract
Introduction: Intracomparemental pressure were measured by the wick catheter technique in 32 compartments of 32 post traumatic patients who were clinically suspected of having acute compartment syndromes. A pressure of zero millimeters of mercury was used as an indication for normal compartment enough for being excluded in any subject.
Material and Method: Signs and symptoms were examined in subjects based on clinical definitions before measuring intracompartmental pressures. Paresthesia, tensness, pain in passive extension, pain in active extension, paralysis, pulselessness, capillary filling and pallor of each subject were marked to be used for comparison with the value of intraucompartmental pressure.
Results: Pain were present in all subjects as the most earliest sign while the skin pallor appeared to be the latest one.The lowest values of pressure were seen together with pain and paresthesia even below the 10 mmHg among the subjects.
In our cases when ever the pressure values of the affected compartment increased. The number of present signs and symptoms also increased.
Conclusion: Positive regression of the mentioned correlation (r=0.69) implies that the value of intracompartmental pressure could be indicative of the more complications associated with more sign and symptoms.
Since different signs and symptoms were present in our subjects even with the same value of pressure. The diagnosis and apporching to compartment syndromes may looks confusing so measuring intraucompartmental pressure by a wick cartheter seems to be the cheep. Available technique in diagnosis and management of the cases.
Mohamad Reza Rezvanfar, Azadeh Ghafari,
Volume 4, Issue 4 (12-2001)
Abstract
Introduction: Diabetic ketoacidosis is an acute complication of insulin dependent diabetes mellitus with high mortality rate. The aim of present study was evaluation of clinical signs, laboratory findings and predisposing factors of DKA in Arak Vali-asr hospital.
Materials and Methods: This investigation is a descriptive, cross-sectional study during 2 years on 30 patients with DKA with passion sampling method.
Results: Twenty percent of patients were male and eighty percent were female. Majority of patients were on insulin (83.3%) but DKA was first presenting sign of diabetes in 16.6% of patients. Most common signs were fatigue and weakness (100%) and then gastrointestinal and pulmonary signs (96.6%) and decreased level of consciousness in 60%. Hyperkalemia was seen in 20% and hypokalemia only in 30.3%.
Conclusion: Trying for patient education and giving a wareness about primary and common sign of DKA will have an important role in decreasing mortality. Nobody had hypernatremia and only one patient had hyponatremia and only on one patient had hyponatremia.
