摘要:

SYNOPSISNine patients who developed severe respiratory insufficiency as a consequence of acute viral bronchiolitis were artificially ventilated. Seven of the patients are now alive and well. One died because the procedure was undertaken as a last desperate measure when irreversible damage had occurred; the other died as a result of a blockage in a nasotracheal tube.

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1968.tb01762.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1968.tb01763.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

SYNOPSISThe effect of 3 types of petroleum distillates on the pulmonary surfactant layer was examined by pressure volume studies on the rat lung. The results indicate that when small doses of each of the distillates are introduced into the trachea, they produce a marked change in the surface properties of the lining of the lung and that this is dependent on the dose. The inhalation of vapours and aerosols was ineffective, and relatively large intravenous doses of distillate were required to consistently produce changes in the lung. There was no evidence that distillate absorbed from the gut could cause any alteration in pulmonary stability. The effects of these 3 substances on the lung were similar and in each case the lung recovered its normal surface properties within 48 hours despite the presence of discrete macroscopic areas of damage in the lung.The findings suggest that the initial acute symptoms and signs are the result of damage to the pulmonary surfactant layer and aspiration is the only important cause of this type of pulmonary damage.

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1968.tb01764.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

SYNOPSISThe use of a balloon catheter to create an atrial septal defect, devised by Rashkind (1966), provides at least temporary palliation in infants with complete transposition. The results of 12 completed procedures are compared with experience of surgery in the same unit. The main problem was atrial perforation which occurred 3 times in the 14 occasions in which the balloon catheter was introduced into the heart. Despite this the procedure offers the opportunity to increase the salvage of hypoxic infants with complete transposition of the great vessels.

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1968.tb01765.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

SYNOPSISOne may divide the practice of Paediatrics into 3 categories — Primary, Secondary, and Specialist. The primary paediatrician receives the majority of his patients directly, without referral from another doctor, whereas the secondary paediatrician receives the majority or all of his patients as referrals for a consultant opinion. The specialist paediatrician working in a sub‐speciality such as paediatric cardiology or diabetes, will receive many of his patients from other paediatricians. It has been the custom in countries following the British system to rely almost entirely on the secondary and specialist paediatricians, although there are notable exceptions. In the United States, the reverse has been the case, and primary paediatricians are an accepted part of medical pract

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1968.tb01766.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1968.tb01767.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1968.tb01768.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1968.tb01769.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1968.tb01770.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

ISSN:1034-4810    

DOI:10.1111/j.1440-1754.1968.tb01771.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY