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[Traumatic hyphema due to contusion. 40 cases].

PURPOSE: To study the clinical characteristics of traumatic hyphema and to discuss the place of medical and surgical treatment. MATERIAL AND METHODS: A retrospective study of 40 patients hospitalized between 1991 and 1995 for traumatic hyphema was conducted. RESULTS: The average age of patients was 16 years. There were 87.5% males. Sex ratio was 7.1. Dangerous games were responsible for injury in 40% of cases. 60% were grade 2 or less. With medical treatment, outcome was favorable in 67.5% of eyes with hyphema, often within 2 to 5 days. However, complications occurred in 35% of cases: secondary hemorrhage, ocular hypertony, blood staining of the cornea and posterior synechiae. Only 4 cases needed surgical treatment. 3 of them developed secondary hemorrhage after surgery. CONCLUSION: Traumatic hyphema is a diagnostic and therapeutic emergency. More preventive efforts are needed especially in children. Outcome is generally good if medical treatment was quickly instituted. Surgical treatment must be reserved for cases with refractory persistant hypertony, because of the risk of secondary bleeding.

Adolescent↗

[Spectral analysis of the EEG in patients with cerebral contusions and traumatic intracranial hematomas].

The authors subjected to a mathematical analysis 80 electroencephalograms registered in 20 patients with contusional foci andintracranial hematomas, verified during surgical operations. In order to evaluate the peculiarities of the EEG spectrograms an adaptive system of filtration was proposed which was based on an approximation of the assessment of the spectral density. The used method with the aid of computers permitted to detect the characteristic disturbances of the frequency spectrum in the EEG which had a topical and differential diagnostical significance for patients in the acute period of a severe brain injury.

Adolescent↗

[Contusion injury of the brachial artery].

We present a case of a successful repair of brachial artery after blunt trauma, almost five days after the injury. Autovenous graft (great saphenous vein) was used for the repair. The diagnosis was confirmed by angiography, and this method was indisposable in the postoperative course. Precise surgical technique is compulsory in obtaining optimal surgical revascularization.

Adult↗