ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1955.tb03449.x

出版商:Blackwell Publishing Ltd    

年代:1955

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1955.tb03450.x

出版商:Blackwell Publishing Ltd    

年代:1955

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1955.tb03451.x

出版商:Blackwell Publishing Ltd    

年代:1955

数据来源: WILEY

摘要:

SUMMARYThe condition known as Fournier's gangrene is reviewed and the criteria necessary for diagnosis of this lesion are enumerated.A case illustrative of the condition is described.The retiology is discussed and the theory advanced that the disease may be caused byStupk. aureusand an anaerobic streptococcus acting in symbiosis.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1955.tb03452.x

出版商:Blackwell Publishing Ltd    

年代:1955

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1955.tb03453.x

出版商:Blackwell Publishing Ltd    

年代:1955

数据来源: WILEY

摘要:

SUMMARYThree cases of retrocede in children are recorded, each presenting in a different manner. In two the initial symptoms occurred in the first year of life.The first presented as a case of persistent urinary infection due to stasis behind a ureterocele; it subsequently transpired that there was in addition a double kidney pelvis and complete double ureters on the affected side.The second case presented with acute retention of urine recurring on several occasions due to the fact that the extension of the large retrocede raised the trig one of the bladder and so obstructed the internal urethral orifice.The third, also a large ureterocele, extended beneath the niucosa of the trigone, distorting and obstructing the opposite (healthy) ureteric orifice. The leading features were urinary infectior and contralateral hydronephrosis.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1955.tb03454.x

出版商:Blackwell Publishing Ltd    

年代:1955

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1955.tb03455.x

出版商:Blackwell Publishing Ltd    

年代:1955

数据来源: WILEY

摘要:

SUMMARY1. Plasma concentrations of sodium, potassium, chloride, CO2, combining power, urea, and, on occasion, calcium and phosphate have been determined before and after urethral or suprapubic bladder drainage in fifteen patients suffering from chronic lower urinary tract obstruction.2. Two patients died from renal failure within a few days of cystostomy, and one died from heart failure eleven months after cystostomy. One has a permanent cystostomy and one a perinea urethrostomy. Nine patients subsequently and successfully underwent one or other form of prostatectomy; one died two weeks after Tran urethral resection.3. Before bladder drainage, hyperchlorzmia was present in eleven of the fifteen patients, acidosis was present in eight, and urea retention was present in fourteen.4. After bladder drainage, restitution of the plasma electrolyte concentrations occurred within varying periods of time in thirteen patients, and restitution of the blood urea occurred in eight.5. Excretion programs carried out on seven patients before bladder drainage showed radiological evidence, either hydronephrosis or poor concentration of the contrast medium, of renal impairment; biochemical abnormalities were present in all these patients.6. Excretion urograms after bladder drainage showed radiological evidence of improved renal function, either a lesser degree of hydronephrosis or improved concentration of the contrast medium, in five of the seven patients; all five showed biochemical improvement. In two patients the excretion urograms remained unchanged despite biochemical improvement.7. The abnormal values of the plasma electrolytes are attributed to renal tubular dysfunction, which usually recovers after relief of urinary obstruction. Urea retention is attributed to glomerular damage, which is sometimes persistent.8. In the main, no special water or electrolyte therapy was used in the treatment of this series of patients, but it is suggested that extra water and M/6 sodium lactate, preferably by mouth, should be given when there is evidence of dehydration, sodium deficiency, and acidosis. Saline is but rarely indicated.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1955.tb03456.x

出版商:Blackwell Publishing Ltd    

年代:1955

数据来源: WILEY

摘要:

SUMMARY1. A case of osteitis pubis is described in which sequestra escaped through the urethra.2. Suprapubic cystostomy as a cause of osteitis pubis is briefly discussed.3. The desirability of exploring the retropubic space is emphasised.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1955.tb03457.x

出版商:Blackwell Publishing Ltd    

年代:1955

数据来源: WILEY

摘要:

SUMMARYA method for electromyographic recording from the external urethral sphincter and the bulbocavernosus muscle is described.The normal external urethral sphincter and bulbocavernosus were investigated, and were found to show the same electromyographic characteristics. They did not diver in this respect from previously investigated muscles of the extremities, such as the biceps brachii and the first dorsal interosseous.Both muscles were activated when the subjects coughed or contracted the muscles as in voluntary interruption of micturition.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1955.tb03458.x

出版商:Blackwell Publishing Ltd    

年代:1955

数据来源: WILEY