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11. |
Left Ventricular Aneurysms Caused by Blunt Chest Trauma |
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Southern Medical Journal,
Volume 71,
Issue 6,
1978,
Page 652-655
RICHARD HELLMAN,
ALFRED RUFTY,
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摘要:
This report describes the case of a 25-year-old man who suffered blunt chest trauma with resultant development of an asymptomatic left ventricular aneurysm which was successfully resected. A review of the literature reveals 25 reported cases of left ventricular aneurysm due to blunt trauma since 1892. The clinical findings and complications are similar to those of left ventricular aneurysm from other causes. The prognosis is not clear, but it is not necessarily benign even in asymptomatic cases. Aneurysmectomy has been generally successful and may be the treatment of choice. The surgical risk and prognosis is expected to be better than in left ventricular aneurysm due to myocardial infarction because of the relative infrequency of coexisting coronary artery disease.
ISSN:0038-4348
出版商:OVID
年代:1978
数据来源: OVID
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12. |
Intravenous Procaine for General Anesthesia in DogsA New Look at an Old Technic* |
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Southern Medical Journal,
Volume 71,
Issue 6,
1978,
Page 656-658
DOLA THOMPSON,
RANDOLPH SMITH,
NOEL LAWSON,
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摘要:
ABSTRACT: New anesthetics have been introduced during the last 25 years which are not without inherent disadvantages. They are expensive, and some produce nephrotoxicity and possibly hepatotoxicity. Although the use of procaine intravenously as an anesthetic has been discarded, probably because of a convulsive effect, it is believed this disadvantage can be controlled by concomitant use of other drugs. Hence procaine, preceded by thiamylal, was administered to dogs to test its anesthetic capability, reversibility, and effects on the cardiovascular and central nervous systems. Blood levels of procaine were measured and correlated with these physiologic responses. Convulsive doses were ten times those producing anesthesia. There were no detrimental effects which would preclude a reevaluation in humans. Intravenous procaine produces definite general anesthesia, and it has the additional advantages of being rapidly hydrolyzed and providing antiarrhythmic effects. It may prove useful in modern anesthesia.
ISSN:0038-4348
出版商:OVID
年代:1978
数据来源: OVID
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13. |
VIGNETTES ON MEDICAL WRITING Subtle Discrimination in Language |
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Southern Medical Journal,
Volume 71,
Issue 6,
1978,
Page 659-659
Theresa Setze,
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ISSN:0038-4348
出版商:OVID
年代:1978
数据来源: OVID
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14. |
Posterior Spinal Fusion With Harrington Instrumentation Using “Balanced” Anesthesia |
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Southern Medical Journal,
Volume 71,
Issue 6,
1978,
Page 660-661
MARTHA ANDERSON,
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摘要:
In our experience nitrous oxide-oxygen-morphine-curare anesthesia has proved preferable because of the need for swiftly awakening patients after instrumentation to ascertain neurologic status. Adjunctively, doxapram has been used to awaken patients in a predictably short time span. To prevent massive blood loss, hypotension has been attained by pentolinium, trimethaphan camsylate, and sodium nitroprusside.
ISSN:0038-4348
出版商:OVID
年代:1978
数据来源: OVID
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15. |
Intercostobrachial Nerve Entrapment Syndrome |
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Southern Medical Journal,
Volume 71,
Issue 6,
1978,
Page 662-663
KATHLEEN WOOD,
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摘要:
Five patients with intercostobrachial nerve entrapment syndrome are reported. The pain in this syndrome has three aspects: somatic stimulus, perceptual surround, and behavioral response. Each must be dealt with appropriately. The distribution of the pain, its anatomic basis, and its treatment are discussed.
ISSN:0038-4348
出版商:OVID
年代:1978
数据来源: OVID
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16. |
Compensation for Work‐Related Injuries and Rehabilitation of Patients With Chronic Pain |
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Southern Medical Journal,
Volume 71,
Issue 6,
1978,
Page 664-666
WILLIAM HAMMONDS,
STEVEN BRENA,
IRVING UNIKEL,
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摘要:
A group of 61 patients with problems of chronic pain were managed through a rehabilitation program based on the principles of operant conditioning. Of these patients, 35 were receiving compensation for work-related accidents, and 26 were receiving no financial compensation for their chronic pain. Of the patients not receiving compensation, 69% (18) made significant increases in their functional performances, while only 43% (15) of the compensation group made similar increases.
ISSN:0038-4348
出版商:OVID
年代:1978
数据来源: OVID
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17. |
Double‐Blind Comparison of Lidocaine and Etidocaine During Continuous Epidural Anesthesia for Vaginal Delivery |
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Southern Medical Journal,
Volume 71,
Issue 6,
1978,
Page 667-669
BRENDAN FINUCANE,
JOHN McCRANEY,
DANIEL BUSH,
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摘要:
Etidocaine 0.5% plain, etidocaine 0.5% with epinephrine 1:200,000 and lidocaine 1% with epinephrine 1:200,000 were compared in a series of patients receiving epidural anesthesia for vaginal delivery. Results, based on data from 48 patients, showed a significant increase in the duration of action (P< .01%), the degree of sensory analgesia (P< .02%) and the degree of motor blockade (P< .01%) in the group that received etidocaine with epinephrine compared to the remaining groups. There were no significant differences in the duration of labor or the number of complications. It was concluded that etidocaine and lidocaine in the concentrations used were unsatisfactory for labor and delivery.
ISSN:0038-4348
出版商:OVID
年代:1978
数据来源: OVID
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18. |
Abdominal PregnancyPathogenesis, Diagnosis, and Treatment |
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Southern Medical Journal,
Volume 71,
Issue 6,
1978,
Page 670-671
H. RADMAN,
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摘要:
A ten-year survey of abdominal pregnancy was made regarding numbers, diagnosis, and treatment. The hazards of intraperitoneal infusion of concentrated saline, thought to be administered into the amniotic sac, in an attempt to produce abortion is discussed. A favorable result was obtained after laparotomy was done and the correct diagnosis established.
ISSN:0038-4348
出版商:OVID
年代:1978
数据来源: OVID
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19. |
Use of Doxycycline in Elective First Trimester Abortion |
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Southern Medical Journal,
Volume 71,
Issue 6,
1978,
Page 672-673
ROBERT LONDON,
EDYTHE LONDON,
MARVIN SIEGELBAUM,
PHILIP GOLDSTEIN,
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摘要:
Elective first trimester abortion was performed in 263 patients, including 86 control patients and 177 patients receiving doxycycline as prophylactic antibiotic coverage. Abortions were, done by the same physicians, using a standard protocol. Control and study populations had similar courses, except that the incidence of major complications and total complications was significantly reduced in the group receiving doxycycline. No untoward reactions to the drug were noted, and patient compliance was excellent. The results suggest that the low morbidity of elective suction abortion is further reduced by prophylactic doxycycline.
ISSN:0038-4348
出版商:OVID
年代:1978
数据来源: OVID
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20. |
Changing Normal Values for Thyroid Uptake of Radioactive Iodine |
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Southern Medical Journal,
Volume 71,
Issue 6,
1978,
Page 674-676
WILLIAM CULP,
WILLIAM HUSKISON,
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摘要:
The 24-hour radioactive iodine uptake remains a very useful clinical tool for evaluating the thyroid gland; however, the normal values have changed over the years. The traditional values of 15% to 45% are clearly not applicable today and the revised values of 9% to 32% are suspect in some areas where iodine content is rapidly changing in the general diet. The values in a relatively stable population in Ft. Smith, Arkansas, without significant access to a continuous-batch bread with a high iodine content do confirm the national trend of the early 1970s suggesting an overall normal range from 11% to 30%. Values in men were found to be lower with a range from 11% to 23%, whereas in women the values ranged from 13% to 32%. Each nuclear medicine department should be responsible for establishing its own normal range and reevaluating it on a fairly routine basis—certainly whenever known dietary iodine factors change.
ISSN:0038-4348
出版商:OVID
年代:1978
数据来源: OVID
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