摘要:

SummaryFrom the present study the following conclusions can he drawn :1) Pressures at rest, in the right heart, seem little influenced by pulmonary excision,2) Moderate rises in right systolic pressure observed in chronic pulmonary patients do not seem to constitute a contra-indication to operation.3) Systolic ventricular and pulmonary arterial hypertension is relatively frequent in T.B. patients with bacilli in sputum. It is still more frequent ir. emphysema and pulmonary sclerosis, especially when respiratory deficiency is complicated by cardiac insufficiency.4) In spite of the considerable extent of pulmonary lesions, we have never found right ventricular insufficiency in T.B. patients with bacilli in sputum.5) E.C.G. rarely foresees a moderate or early right hypertension.

ISSN:1784-3286    

DOI:10.1080/17843286.1953.11717260

出版商:Taylor&Francis    

年代:1953

数据来源: Taylor

摘要:

SummaryProcain-amide was administered to 28 patients with various cardiac arryth- mias. It was only efficacious in ventricular extrasystcles using a dosage of 3 to 4 gr per day. The dose required when injected intravenously varied from 300 mgr to 1 gr.1) One observes the disappearance of all the ventricular extrasystoles, but this effect is transitory. The action on auricular extrasystoles is less constant.2) Sinusal rhythm is re-established in one case of paroxystic nodal tachycardia and in one case of ventricular paroxystic tachycardia.3) One case of auricular paroxystic fibrillation is stoped; in 3 cases of chronic fibrillation arrhythmia persists.4) In 2 patients with chronic auricular fibrillation and ventricular extrasystoles caused by digitalis the extrasystoles disappear but fibrillation persists.5) Auricular fibrillation of long duration is obtained experimentally in 8 dogs. In all cases, sinusal rhythm is re-established by injection of too to 200 mgr of procain-amide.6) In dogs also, electrocardiographic alterations due to high dosage ol procain-amide are studied.7) From these various observations practical conclusions are drawn concerning the indications and dosage of procain-amide in cardiac arrhythmias.

ISSN:1784-3286    

DOI:10.1080/17843286.1953.11717261

出版商:Taylor&Francis    

年代:1953

数据来源: Taylor

摘要:

SummaryReport on a case of acute poisoning by Hg oxycyanide.Spontaneous recovery after five days of complete anuria.The restoration of the renal function was followed by :a) daily clearances of creatinine, urea, Na + , Cl—and K+ and by two functional tests measuring the inulin clearance and the renal capacity to excrete glucose at increasing plasma levels. These tests were performed on 8 successive urinary collection periods of 15 minutes. The observations were as follows :a) Creatinine and urea clearances are equal and increase simultaneouly from 0,7 and 0,52 to 23,6 and 26,4 during the 8 days following the restoration of diuresis. Thereafter creatinine clearances increased more rapidly than urea clearances.b) K clearance is the first to reach its normal value. It is higher than that of all the other components of urine during the six first days of diuresis. This fact is interpreted as a proof of the capacity of the distal nephron to secrete K.c) The amount of glucose excreted on the third day of restored diuresis remains, despite a very decreased renal function, a linear function of the plasma level of glucose. TmG = 5,28 mgr/minute. Mean threshold = 0,66. The glomerular filtration calculated from the slope of the line relating glucose excreted to the plasma level is 7,9 cc/minute. This is equal to the clearances of inulin, creatinine and urea.d) The same test performed 14 days later shows a quite different picture. TmG has a normal value 273,8 mgr/minute. Mean threshold = 2,87 gr 0,00. The appearance threshold of glucose is still decreased (1.1 gr. 0/00) and is the last remaining abnormality.e) At that time (16th day of restored diuresis) the proximal tube has recovered the ability to secrete creatinine at increased plasma levels. The ratio, creatinine clearance inuline clearance = 1,32 as compared to the value (0,89) obtained on the previous test.

ISSN:1784-3286    

DOI:10.1080/17843286.1953.11717262

出版商:Taylor&Francis    

年代:1953

数据来源: Taylor

摘要:

SummaryThe development of icterus caused by hepatitis can give a few weeks remission to rheumatoid arthritis patients (P.S. Hench, 1933).it was important to verify if this variety of icterus causes a reduction of intradermic spreading of the hyaluronidase-haemoglobin mixture, comparable with the one, observed during the treatment with A.C.T.H.Repeated measurements, effected in 4 cases of hepatitis give readings between 5,6 cm2and 9,9 cm2, frankly inferior to the normal readings (10 to 20 cm2), realized under standardized conditions.Everything happens, as if an icterus, caused by hepatitis, constitutes an important stress, causing a prolonged adreno-cortical stimulation. This opinion is confirmed by a relative elevation of the urinary corticoïds (Franckson and Albeaux-Fernet 1952)

ISSN:1784-3286    

DOI:10.1080/17843286.1953.11717263

出版商:Taylor&Francis    

年代:1953

数据来源: Taylor

摘要:

SummaryOedematous exophtalmy may occur after treatment of Grave’s disease by thyroidectomy or antithyroid drugs. It also can be observed without any treatment at all. It then appears alone or associated to thyrotoxicosis. Clinically, it seems difficult to explain every case by the action of thyrotropic hormone. It is more probable thatœdematous exophtalmos is due to a factor different from T.H., but in several circumstances, there is a simultaneous hyperproduction of these two principles.

ISSN:1784-3286    

DOI:10.1080/17843286.1953.11717264

出版商:Taylor&Francis    

年代:1953

数据来源: Taylor

摘要:

SummaryA case of myelomed of which blood contains 53 gr % of cryoglobulin is described. The authors stress the characteristic clinical signs of this disease : acrocyanose, sensitivity to cold, alteration of the fundus.These symptoms are due to the presence in blood of an abnormal protein. This induces an important rise of the plasma viscosity at 37°, which still increases when the temperature decreases. This cryoglobulin slows the circulation in peripherical cutaneous territories affected by variations of temperature. A study of the plasma viscosity has been made at different temperatures. Some aspects of this solubility of cryoglobulin have been discussed. Hemodynamic observations suggest that circulation in deep territories is practically normal.

ISSN:1784-3286    

DOI:10.1080/17843286.1953.11717265

出版商:Taylor&Francis    

年代:1953

数据来源: Taylor

摘要:

SummaryThe authors describe a case of masculinisation in a 26 year old woman in whom an hypertrophic ovarium was found. The urinary excretion of 17 Keto- steroids was much increased. The surgical removal of that ovarium was followed by an important drop of the urinary 17 Ketosteroids.The histological examination of this organ proved that there were no signs of arrhenoblastoma nor of masculinovoblastoma. The hypertrophy of that ovarium was due to a highly increased number of luteinic cells in full activity.The conclusion of the authors is that one must consider a third group of masculinisation caused by an abnormal ovarium. They propose to call it«Luteinism»of the ovarium.

ISSN:1784-3286    

DOI:10.1080/17843286.1953.11717266

出版商:Taylor&Francis    

年代:1953

数据来源: Taylor

摘要:

SummaryIn a woman with a placenta praevia marginalis delivery was complicated 1°by an acute hemorrhagic disorder with disappearance of the fibrinogen from the plasma; 2°by acute renal insufficiency.The authors discuss the pathogenic parenthood of those complications. The following hypothesis is formulated : the fibrinogen is deposited as fibrin in the smaller arteries of the kidney leading to different forms of symmetric necrosis of the renal cortex.

ISSN:1784-3286    

DOI:10.1080/17843286.1953.11717267

出版商:Taylor&Francis    

年代:1953

数据来源: Taylor