ISSN:1784-3286    

DOI:10.1080/17843286.1992.11718203

出版商:Taylor&Francis    

年代:1992

数据来源: Taylor

摘要:

SummaryEarly external defibrillation is the single most effective intervention in patients with out-of-hospital cardiac arrest. Literature data indicate that instructing emergency medical technicians (EMTs) to use defibrillators is beneficial, provided the local emergency medical system is well organized.We tried to estimate the potential benefit of early defibrillation in some centres in Belgium by retrospectively analyzing the data from the Belgian Cardio-Pulmonary-Cerebral Resuscitation Registry collected between 1983 and 1987 in Belgian centres with a Mobile Intensive Care Unit (MICU).The data show that 2310 out of 3371 patients (69%) were first attended by the EMTs; on subsequent arrival of the MICU-teams, 584 of these 2310 patients i.e. 17% of the whole study population, presented with ventricular fibrillation. Analysis of estimated time factors in these 2310 patients revealed that the median time interval between collapse and start of resuscitation by EMTs was 8 min; the median time interval between collapse and start of MICU-resuscitation attempts was 16 min. The duration of EMT-resuscitation before MICU-arrival was probably more than 5 min and 10 min in 58% and 23% of the cases respectively.

ISSN:1784-3286    

DOI:10.1080/17843286.1992.11718204

出版商:Taylor&Francis    

年代:1992

数据来源: Taylor

摘要:

SummaryThe difficulties encountered in measuring the susceptibility ofthe association amoxicillin/clavulanate can be a cause for disagreements between laboratories. With an inoculum standardized at H)4CFU/spot, the resistance level ofE. coliapproaches 10 %. If the variety of current methods is taken intoaccount.theevaluation of a resistance increase can only be an internal one, specific for each laboratory, provided that methods do not change in the course of time.

ISSN:1784-3286    

DOI:10.1080/17843286.1992.11718205

出版商:Taylor&Francis    

年代:1992

数据来源: Taylor

摘要:

SummaryWe report the findings in 21 Belgian patients (12 males and 9 females, median age 61 years) with LGLPD. Symptoms at presentation included infection (n=9), weight loss (n=5), asthenia (n=9), pruritus (n=2) and arthralgia (n=7). Four patients were asymptomatic. The main clinical findings were hepatomegaly (n=5), splenomegaly (n=8), lymph node enlargement (n=3) and arthritis (n=5). All patients had an increased LGL count associated with anemia (n= 12), neutropenia (n=17), often<0, 5. 107L (n=10) and thrombocytopenia (n=6). Three patterns of lymphocyte surface markers were observed: CD,* CD; (14 patients), CD/CD;/ (5 patients) and CD,* CD/g’(1 patient). An abnormal karyotype was found in 2 patients. T-cell receptor gene was rearranged in all cases tested (9/9).Our findings are in agreement with recent data from the literature.

ISSN:1784-3286    

DOI:10.1080/17843286.1992.11718206

出版商:Taylor&Francis    

年代:1992

数据来源: Taylor

摘要:

SummaryPulmonary arterial hypertension, defined as a mean pulmonary artery pressure exceeding 20 mmHg has been observed both in experimental animal and human sepsis, even before development of the adult respiratory distress syndrome.In this article we review several mechanisms that have been invoked for the pulmonary arterial hypertension associated with sepsis (and the adult respiratory distress syndrome): obstruction of the pulmonary microcirculation with microthrombi composed of platelets and leukocytes, and active pulmonary vasoconstriction induced by the autonomous nervous system, hypoxia or vasoactive humoral factors («mediators»). Some of these mediators, in particular serotonin and arachidonic acid metabolites have been the subject of substantial research and therapeutic manipulation.Since pulmonary arterial hypertension imposes an increased afterload to the right ventricle and because right ventricular dysfunction appears to be a major determinant of the outcome of sepsis, the study of the mechanisms involved in pulmonary arterial hypertension may lead to improved management of sepsis and septic shock.

ISSN:1784-3286    

DOI:10.1080/17843286.1992.11718207

出版商:Taylor&Francis    

年代:1992

数据来源: Taylor

摘要:

SummaryThis review summarizes the different causes of fever of unknown origin reported in the internationally indexed literature from 1961 till 1990. In 1961 Petersd of published his landmark report that, for the first time, proposed criteria that cases have to meet to be considered as fever of unknown origin. We only retained cases and series that met these criteria. We meticulously compared the reported case series and tried to explain the differences between these series.

ISSN:1784-3286    

DOI:10.1080/17843286.1992.11718208

出版商:Taylor&Francis    

年代:1992

数据来源: Taylor

摘要:

SummaryA 17-year-old woman presented painful recurrent ecchymoses. Identical lesions were specifically induced by injection of autologous leukocytic stroma. No evidence for possible immunological disturbances was found. Therapy with Nivaquine induced a complete and prolonged remission. The differential diagnosis of this rare form of non thrombocytopenic purpura, the autosensitization to D.N.A. or to leucocytic stroma, is discussed.

ISSN:1784-3286    

DOI:10.1080/17843286.1992.11718209

出版商:Taylor&Francis    

年代:1992

数据来源: Taylor

摘要:

SummaryTirés-à-part: P. CapelThis is a case report about an African patient with AIDS who was diagnosed with a linitis plastica of the stomach. The evolution of this linitis plastica does not differ in any aspect from that in HI V-negative patients. The question remains unanswered whether there is a link between the HIV infection and the development of linitis plastica in this patient.

ISSN:1784-3286    

DOI:10.1080/17843286.1992.11718210

出版商:Taylor&Francis    

年代:1992

数据来源: Taylor

ISSN:1784-3286    

DOI:10.1080/17843286.1992.11718211

出版商:Taylor&Francis    

年代:1992

数据来源: Taylor

ISSN:1784-3286    

DOI:10.1080/17843286.1992.11718212

出版商:Taylor&Francis    

年代:1992

数据来源: Taylor