摘要:

SummaryThe most proeminent anatomic lesion of mortal asthma is acute pulmonary emphysem due to bronchial and bronchialar plugging by mucous casts. These are due to an anormal glandular secretion, really«holocrine».It is mostly said that these patients die of acute anoxia. However, it is impossible, in pathology as well as in physiology, to dissociate sharply respiration from circulation. Marked symptoms of circulatory impairment are regularly recorded during oppressive paroxyms of bronchial asthma : severe cutaneous vaso-constriction, tachycardia, weak pulse, arterial hypotension with reduction of differential tension. The most caracteristic sign, and the most constant, is Küssmaul’s paradoxal pulse : marked weakening or, even, disappearance of the pulse during inspiration. The end of asthmatic paroxyms is always accompanied by the disappearance of Küssmaul’s pulse.These circulatory symptoms were a marked feature of the case here reported. Our patient died suddenly during the last of a series of three asthmatic paroxyms; one cannot really speak here of status asthmaticus.Some therapeutic views are briefly discussed.

ISSN:1784-3286    

DOI:10.1080/17843286.1947.11716410

出版商:Taylor&Francis    

年代:1947

数据来源: Taylor

摘要:

SummaryThe author tries to fix some informations about the hernia diaphragmatica traumatica.He gives a definition of this hernia and subsequently an historical study of this affection.The investigation of the causes of the H.D.T. is made according to the sex, the age and the business of the patients.The author proposes a classification of the H.D.T., based upon its etiology and its pathological anatomy.The anatomo-pathological study contains informations upon the localization of the burst, the evolution of the burst, the orifice of the hernia, its localization on the left or on the right, the sack, the internal organs it contains and the evolution of the hernia itself.

ISSN:1784-3286    

DOI:10.1080/17843286.1947.11716411

出版商:Taylor&Francis    

年代:1947

数据来源: Taylor

摘要:

SummaryThis work recalls first of all some general notions regarding the dolichocolon, its nature and pathogeny.It classes the dolichocolon in 2 categories : organic dolichocolon having a real excess of length of the intestine, and the functional dolichocolon, due to the lack of tonicity of the lengthy muscular bands of the colon.It recalls the multiplicity of the causes which can interfere in the pathology of both these types of dolichocolon and among these causes, the character of hypothyroïdy is put into light.In a serie of 127 cases of dolichocolon studied in the course of these last 6 years, eighteen times i. e. nearly in 15 % of these cases, the hypothyroïdy, light or certain, interferes in the pathogeny of the affection.If the hypothyroïdy is so often the cause of dolichocolon, of course, the dolichocolon is usual in the hypothyroïdy where it can be found in almost all the cases.The hypothyroïdian dolichocolon can, according the case, be an organic dolichocolon or a functional one, the latter appearing more frequently in the light hypothyroïdy.The thyroïdine is the specific medicament of the hypothyroïdian dolichocolon and can sometimes be used with success in other forms of dolichocolon without hyperthyroïdy.

ISSN:1784-3286    

DOI:10.1080/17843286.1947.11716412

出版商:Taylor&Francis    

年代:1947

数据来源: Taylor

摘要:

SummaryThe author, relying on documentary evidence, reminds the enormous extension of latent tuberculosis. The allergy mounts to 100 % for certain groups. He also proves the multiplication of the mesenteric tuberculosis which is so widespread among the people.On the other hand the cattle tuberculosis will be found everywhere and this is proved by statistics of England, the United States, Berlin, Holland, Ghent and Flanders. Cattle’s infection is always brought by bovin bacille type. Therefore it is no wonder that the cattle bacilles will be found with an alarming frequency in human food delivered by stables, namely butter and principally milk. The direct demonstration of cattle bacille (viz pratically alimentary) in the human tuberculosis was often carried out, for several cases of adenitis, meningitis and also for cases of long diseases.The bovin’s bacilles are much more frequent among the children than among the grown-up.Mutation of the bovin type turns to the human among the human pathology is consequently acknowlegded true besides expressly proved.The author, with regard to the question, reminds the polymorphisme and pneumotropisme of the tubercle bacille, what even may be its origin.A great part of human tuberculosis disappeared at the countries when the cattle was getting free of sickness.It is therefore necessary to take the following measures. Cattle is to be kept free from tuberculosis and stables kept clean. Human food is to be controlled. Pasteurisation of the milk for household use and specially if the milk is the base in order to make butter and cheese.

ISSN:1784-3286    

DOI:10.1080/17843286.1947.11716413

出版商:Taylor&Francis    

年代:1947

数据来源: Taylor

摘要:

SummaryAuthor reports two cases of death by pleural punction during instauration of pneumothorax. The pathogenesis is examined.

ISSN:1784-3286    

DOI:10.1080/17843286.1947.11716414

出版商:Taylor&Francis    

年代:1947

数据来源: Taylor

摘要:

SummaryTo be efficient the dose sulfathiazol must operate on the organism for a minimum time, still undetermined, but not longer than 24 hours for a dose of 15 ctgr. per kg. human weight.

ISSN:1784-3286    

DOI:10.1080/17843286.1947.11716415

出版商:Taylor&Francis    

年代:1947

数据来源: Taylor

摘要:

SummaryReport of five cases of leukemia in which pains in the bones or joints were at one time the main symptom of the disease. The patients were three girls, 8, 9 and 10 years old, and two boys, 9 and 15 years old, living in or near Brussels.A survey of the literature shows that these pains occur also in adults, but not so frequently as during the growth-period. The clinical picture with joint-pains and fever can be so misleading that acute rheumatism is often first diagnosed. Other cases have been mistaken for acute osteomyelitis or for Still’s disease. What frequently increases the diagnostic difficulties is the fact that the leukemias, particularly in children, are often not accompanied by an increased total white count and that the morphological characteristics of the leukemia-cells existing in some of these cases are not always recognised by the untrained observer. The pain can persist for a long period of time; frequently it disappears spontaneously after 4 or 5 days and recurs after a period of variable duration. The affected bones or joints may be swollen.Post-mortem examinations of patients with leukemia may reveal in a certain number of cases osteoplastic and osteoclastic bone changes : osteodystrophy, osteoporosis (decalcification), osteosclerosis, osteolysis, osteonecrosis, periostosis or periosteal thickening (the leukemic infiltration of the bone-marrow breaks through the cortex and lifts the periosteum, which can then build a narrow layer of bone parallel to the shaft). In children the lesions have a somewhat peculiar aspect, due to growth-disturbances; they are found frequently in the meta-physes. The joint manifestations appear to be due mostly to neighboring bone lesions, for the joint structures themselves are rarely infiltrated.The X-ray findings are :1°Osteoporosis : localized or generalized.2°A narrow transverse zone of diminished density in the metaphysis.3°Periosteal thickening and layering.4°Areas of bone destruction, particularly at the ends of the diaphyses, which make the bone look as if it had been nibbled by mice. These are frequent in the small bones of the hand.5°Osteosclerosis.None of these lesions is pathognostic for leukemia : osteoporosis and osteosclerosis are quite uncharacteristic; periosteal thickening is found among other conditions in congenital syphilis and in pulmonary osteoarthropathy; the narrow transverse zone of diminished density is seen also in the osteochondritis of congenital syphilis. According to Doub and Hartman however«the periosteal changes in conjunction with the peculiar moth-eaten areas of erosion at the ends of the diaphyses... are changes that are rather uncommon in other diseases. When these are associated with the pinpoint areas of decalcification in the flat bones, one should suspect some myeloid or lymphoid neoplastic condition». Sympathetic neuroblastoma however can give the same association of roentgenological aspects.Several authors have shown that these X-ray signs may disappear.

ISSN:1784-3286    

DOI:10.1080/17843286.1947.11716416

出版商:Taylor&Francis    

年代:1947

数据来源: Taylor

摘要:

SummaryThe author describes the clinical picture of a group cases of essential hypertension characterised by a paradoxical hypotension associated with bradycardia and a paradoxical leucopenia with lymphopenia alter a subcutaneous injection of 1 milligram of adrenalin; further by a paradoxical stimulation of the gastric secretion after a subcutaneous injection of 1 milligram of atropin ; finally by the abolition of the paradoxical adrenalin effect by a previous injection of atropin.The mecanism and the etiology of the paradoxical reactions are discussed. The author means that the picture, for which he proposes the name of«neurotonic hypertension», is based on a permanent state of hypoparasympathicotony.

ISSN:1784-3286    

DOI:10.1080/17843286.1947.11716417

出版商:Taylor&Francis    

年代:1947

数据来源: Taylor