ISSN:0038-4348    

出版商:OVID    

年代:1975

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1975

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1975

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Clindamycin (7-chloro-7-deoxylincomycin) may induce mild or severe colitis. In 28 months, clindamycin-associated diarrhea was encountered in eight patients who had received oral therapy. Severe, acute colitis was seen in four older patients, three of whom had acute pseudomembranous colitis and one who had an adynamic ileus mimicking an acute abdomen. Mild colitis with protracted diarrhea occurred in four younger patients who had mild, nonspecific inflammation in the rectum which responded to symptomatic treatment. The mechanism and true incidence of diarrhea as a sequel of clindamycin therapy are unknown. In all eight patients, the use of clindamycin was arbitrary. Because of potentially serious gastrointestinal disturbance, including acute pseudomembranous colitis, clindamycin should be reserved for anaerobic and other serious infections.

ISSN:0038-4348    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Coronary artery bypass has been done on 20 patients for acute myocardial infarction associated with shock, arrhythmia, and/or cardiac arrest. Twelve had had catheterization before the time of infarction. There were three hospital deaths, two late deaths, and 15 survivors. Survivors are angina-free and active 4 to 40 months postoperatively. Five patients have been recatheterized since operation, and in four all grafts are patent and functioning. Ventricular function was not improved in one patient, has remained the same in one, and improved in three patients. Although the time interval from infarction to revascularization is important, success is just as dependent on the patient's existing coronary collateral circulation. Lesions of the left main coronary artery were associated with the highest mortality. The rationale for operation in patients with acute myocardial infarction is to revascularize the marginal myocardium adjacent to the infarct and other underperfused areas when indicated. Chance for survival may thereby be increased by improvement of cardiac pumping or reversal of cardiac arrest or arrhythmia.

ISSN:0038-4348    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The pharmacology of ethaverine hydrochloride has been studied in humans and animals. The studies determined that the drug was an effective smooth muscle relaxant. The ethaverine hydrochloride produced significant increase in peripheral blood flow in patients with occlusive artery disease. In longitudinal studies there was no evidence of toxic effects in patients receiving 100 mg ethaverine HCI three times a day.

ISSN:0038-4348    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Reproductive biology has developed into a major subspecialty in gynecology. This study is a retrospective analysis of a private patient population in which the major presenting complaint was infertility. The 324 cases reviewed are divided into three groups: group 1—congenital lesions (subdivided into anatomic defects and endocrine disorders); group 2— infectious disorders and genital neoplasias; and group 3—iatrogenic causes of anovulation. Direct visualization of the internal genitalia combined with a hysterogram gives positive proof of tubal patency and allows the surgeon to develop a plan of therapy. By visualizing the ovaries, he obtains the information necessary for the proper choice of ovulatory stimulating agents. Laparoscopy is not a new procedure but has been used increasingly in modern medicine. Better optic resolution and new operative instrumentation have been a great help to the fertility specialist. The laparoscope spans the gap between palpation and exploratory laparotomy.

ISSN:0038-4348    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The clinical course of 40 patients with histologically proven hepatocellular carcinoma was reviewed. The majority had symptoms and signs suggesting abdominal malignancy; these included abdominal pain, weight loss, tenderness in the right upper quadrant, hepatomegaly, and fever. The most useful diagnostic tests were determination of serum alkaline phosphatase level, sodium sulfobromophthalein (Bromsulphalein) excretion, and liver scan. Prothrombin time and bilirubin levels were normal or only slightly elevated. Celiac angiography was helpful in determining the extent of the disease. Surgical exploration was done in 25% of the cases, but in only 5% was resection attempted. The grim prognosis is indicated by the fact that only 10% of patients were alive six months after admission to the hospital.

ISSN:0038-4348    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

An increased incidence of calculus formation has been discovered in various forms of urinary diversion. The etiologic factors involved are discussed and a hypothesis is advanced as an explanation. Preventive therapy for calculus formation and surgical removal of existing calculi are reviewed.

ISSN:0038-4348    

出版商:OVID    

年代:1975

数据来源: OVID