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العنوان
Evaluation of Urine Osmolarity as a Monitoring Tool in Resuscitation of Traumatic Hypovolemic Patients /
المؤلف
Mousa, Nermin Samir Anees.
هيئة الاعداد
مشرف / / نيرمين سمير أنيس موسى
مشرف / منيرة طه إسماعيل
مشرف / محمد امين على
مشرف / محمد فوزى عبد العال
الموضوع
Emergency Medicine.
تاريخ النشر
2019.
عدد الصفحات
86 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب الطوارئ
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة قناة السويس - كلية الطب - Emergency Medicine
الفهرس
Only 14 pages are availabe for public view

from 86

from 86

Abstract

Fluids and electrolytes disturbance are frequently observed in all traumatic shocked patients. Fluid resuscitation and hemorrhage control are the main step of treatment. Fluid disturbance and fluid resuscitation can be assessed and monitored by clinical observation, valuation of fluid intake and output with respect to calculated fluid requirements. One of the non-invasive methods is the urine osmolarity
This diagnostic cross-sectional comparative study was conducted to evaluate the diagnostic values of urine osmolality, in comparison to CVP, in monitoring the quantity of resuscitation in 40 traumatic hypovolemic patients. The cases were recruited from Emergency and Intensive Care Departments, Suez Canal University Hospital.
The mean age of the traumatic patients was 35.9±12.9 years with a range of 18-75 years and the most common age was <30 years (35%). Males were higher than females (90% versus 10%, respectively).
Type of trauma among the studied population were shown in Table 2. The most common type of trauma was motor car accident (57.5%), followed by fall from height (22.5%). About 43% of the patients had anemia of different degrees, 15% had leukocytosis and 27.5% had high serum creatinine.
The hemodynamic parameters (heart rate, blood pressure and urine output) were significantly increased during follow-up (p<0.0001).