ISSN:1784-3286    

DOI:10.1080/22953337.1978.11718652

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

SummaryFive cases of bismuth subnitrate encephalopathy are reported. One of them had a prolonged evolution.The clinical picture consists of a confusional syndrome with myoclonus and gait disturbances, to which dysarthria and convulsive seizures may be added. Psychic sequelae and memory deficits may persist for several months.The electroencephalographic alterations are generally moderate and not characteristic.The dosage of bismuth levels in the blood and in the cerebrospinal fluid is an essential diagnostic element, though the blood level of bismuth only partially corresponds to the severity of the clinical signs. Also there is no quantitative relationship between the level of bismuth in the blood and in the cerebrospinal fluid.The treatment of the bismuth encephalopathy is based upon the complete withdrawal of the bismuth ingestion. Enemas may also be useful.In suspected cases, an immediate measurement of bismuth blood levels should be ordered.

ISSN:1784-3286    

DOI:10.1080/22953337.1978.11718653

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

SummaryWe describe a new technique to follow the metabolic evolution of the clog’s platelet in vivo with respect to the ageing of platelets.Our results show maximal enzyme and protein synthesis on day 7 and 8 of platelet age.We believe that this synthesis is in correlation with the platelet survival.

ISSN:1784-3286    

DOI:10.1080/22953337.1978.11718654

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

SummaryThe classical treatment of diabetic ketoacidosis, which permitted to decrease the mortality from 100 % before the discovery of insulin to±10 % in recent studies, was based on the administration of relatively large amounts of insulin, associated with the infusion of saline (or glucose) solution and of potassium chloride.Recently,«modern»schemes of insulin therapy including the administration of relatively small doses of insulin in order to reach physiological plasma insulin levels (20–200μU/ml) have been proposed. These schemes appear as efficient, easier to use routinely (because they are more systematic) and induce less secondary effects (especially hypoglycemia and hypokaliemia) than the classical schemes.The intravenous administration of insulin (either a continuous infusion or repeated hourly injections) seems more effective than the intramuscular route. When a continuous infusion is used, it is first necessary to neutralize the saline solution in which insulin is dissolved in order to avoid its precipitation and, thus, a decrease of its concentration in the solution. The dose of insulin administered must be sufficient and we proposed one of the following schemes: an initial intravenous injection of 20 U followed by a continuous infusion of 10–20 U/hourorhourly intravenous injections of 20 U of insulin until blood glucose reaches 250 mg/dl.This simple schememustof course be associated with an important and early rehydration (1 liter during the first hour and a total of 6–8 liters) and the administration of sufficient amounts of potassium(40mEq KCl/liter). Such treatment should be based on a careful clinical examination and on the survey of critical biological parameters made at the time of the admission of the patient as well as at regular intervals during the treatment. Special attention should also be given to the associated risk factors which increase the mortality rate.

ISSN:1784-3286    

DOI:10.1080/22953337.1978.11718655

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

SummaryThe authors localize the effect of the hypotensive drugs on the regulation of the blood pressure, especially in orthostatism. They review the hypotensions induced by anti-hypertensive drugs, psychotropes, anti-Parkinson drugs, vasodilators and they classify these drugs following the risk of hypotension.They discuss the clinical diagnosis of orthostatic hypotension. Finally they present the anti-hypotensive drugs and suggest a programme of therapy depending on etiology of the hypotension.

ISSN:1784-3286    

DOI:10.1080/22953337.1978.11718656

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

ISSN:1784-3286    

DOI:10.1080/22953337.1978.11718657

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

ISSN:1784-3286    

DOI:10.1080/22953337.1978.11718658

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor