Situation of extremity injury caused by traffic accident in Viet Duc hospital from 2000 to 2004

Background: Situation of extremity injury caused by traffic accidents and occupational accidents are increasing in Vietnam. Therefore, the prevention and fight against these accidents are one of the key objectives to reduce the burden on the families of victims as well as for society. Objectives: To outline situation of extremity injury patients caused by traffic accident, treated in Viet Duc hospital from 2000-2004. Subjects and method: A retrospective study was conducted on 19.845 patients (14.562 males, 5.283 females, aged from 1-97 years old). The subjects were divided into 3 main groups: alone upper extremity injury, alone lower extremity injury and multiple fractures. Results: Extremity injury was common seen in people of working age (78.1%), men more than women (2.76/1 ratio), left foot more than right foot and it was common been in multiple fracture situation due to complex mechanisms of injury (50.3%), alone extremity injury (49.7%). The lower extremity injury was more common seen than upper extremity injury. Open fracture injury (27.3%), in which open fractures in lower extremity were more common seen. Open fractures in both 2 leg bones was the most common seen, accounted for 57.4% among total of open fractures. Amputation accounted for 8.3% among all case of open fractures and 2.3% among all case of extremity injuries. Conclusion: Extremity injury (lower extremity and upper extremity) caused by traffic accidents is common seen. The average, there are 3 emergency surgeries due to open fracture injury were performed daily in Viet Duc hospital per a total of about 11 traumatic emergency surgeries.

Some epidemiological characteristics of intracranial meningioma in Cho Ray Hospital

189 cases of intracranial meningioma were surveyed retrospectively concerning CT-scanning, biopsy and, in majority of cases, surgery. Results shown a female/male ratio of 2.4/1 (134 vs. 55), mean age ranged from 50 to 60, the elder than 50 made up 76%. The related factors are gender, hormone level, traumata, microorganisms, and receptors. Clinical symptoms depend on the size and the site of the tumor. On epidemiology aspect, results shown a prevailing of rural female population versus urban population with an earlier age of onset, and a higher prevalence

Signs of MRI of the lumbar spinal disc degeneration

A study on the signs of MRI the lumbar spinal disc degeneration was performed in the imaging diagnosis department of Cho Ray hospital on 100 patients. The results showed that the disease frequently occurred in men, with ages of 40 -60. The position of herniation was usually in the next of the left central line. The herniation occurred in the disc layers of L4-L5 (45%), L5-S1 (27%), L3-L4 (11%), L2-L3 (4%) and L1-L2 (3%). The MRI myelography can distribute to traditional myelography. The conclusion: MRI helped early diagnosis, classification and determination of the precise position to have proper indication, especially in the disc operation by laser for removal of the mucosal nuclear

The value of CT scanner and MRI on the diagnosis of intracranial meningioma

36 cases of intracranial meningioma diagnosed by CT scanner and MRI were studied retrospectively. The values of these two techniques were compared concerning the exactitude in diagnosis and the usefulness in management of the conditions. Authors concluded that, actually, CT scanner is the first choice in Vietnam

The contrast media in diagnosis of the brain tumor on the computerization tomography scanner (CT scanner) and the magnetic resonance image (MRI)

In the CT scanner, the iodine containing contrast media are usually used by rapid intravenous with speed of 2-3ml/second. The usual dosage was 1-2ml solution with concentration of 60-70% /kg of bodyweight. The contrast media in the magnetic resonance image is Gd-DPTA (Magnevist). The usual dosage is 0.1-0.3mmol/kg by intravenous, the dosage may be higher than this in some cases.

Liver lesion image due to fasiola hepatica in CT scanner and MRI

A retrospective study on 17 patients with the hepatic fasciola hepatica infection with the positive serum diagnosis was carried out. The CT scanner and MRI were implemented to determine the position, evaluate the lesion and monitor the progress and specific signs of the disease. In the CT scanner image, the sound intensity in the fasciola hepatica located position was reduced, the lesion usually concentrated. In the MRI, in the phase of abscess, the sign intensity of lesion was low (higher than T1W and lower than T2W), moderate lesion occurred in septal an wall.