摘要:

AbstractA prospective study over a 4‐month period in 663 patients operated on under general anaesthesia yielded 66 postoperative pulmonary complications (tracheobronchitis 29, atelectasis 10, pneumonia 21, pleurisy 6). An increased incidence occurred after abdominal surgery, especially emergency upper abdominal surgery, in males, tobacco smokers and patients over 40 years of age. Chronic respiratory disease is common and an important factor in the development of postoperative pulmonary complications in the tropics. The large proportion of underweight patients are also at greater risk of developing these complication

ISSN:0007-1323    

DOI:10.1002/bjs.1800610112

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractInsensible water loss has been studied before, during and after abdominal surgery of moderate severity. It has been shown that if normal hydration is maintained there is no significant change in insensible water loss. Patients who become relatively dehydrated have a significant fall in insensible water loss but there is no evidence that this is detrimental to their postoperative progress.We would like to thank Professor H. L. Duthie for permission to study patients under his care, and the nursing, dietetic and technical staff who helped to carry out this study.

ISSN:0007-1323    

DOI:10.1002/bjs.1800610113

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractA prospective study of 100 patients was undertaken in order to assess whether or not, in apparently normal clinical subjects undergoing surgery, postoperative pulmonary complications could be predicted by the use of simple preoperative pulmonary function tests obtained by the use of the vitalograph.We have found, using a multiple statistical regression technique, that the addition of the vitalograph significantly increases the ability to predict postoperative pulmonary complications.

ISSN:0007-1323    

DOI:10.1002/bjs.1800610114

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractNitrogen balance studies were conducted in 17 adult male Nigerian patients. All the patients had vagotomy and a drainage operation for chronic duodenal ulceration. In 9 patients the postoperative regimen employed was the intravenous administration of isotonic dextrose and dextrose‐saline solutions, while the remaining 8 patients had intravenous supplements of nitrogen and calories in the form of amino acids and 50 per cent dextrose respectively. Detailed records of ward temperature and humidity were obtained during the studies.A significantly increased amount of urinary nitrogen which showed no correlation with either nitrogen or calorie intake indicated increased catabolism of endogenous protein in the immediate postoperative period. The negative nitrogen balance which results from this response can be abolished by increased intake of nitrogen and calories, but the level of intake required is much higher in the early than in the late postoperative period. A significant negative correlation of maximum air temperature with the deviations of nitrogen balance from the nitrogen balance/nitrogen intake regression line indicates that in the humid climate of Lagos higher environmental temperatures may increase the extent of the catabolic response. It is possible that in a hot humid environment higher temperatures add to the stress of an abdominal operation.Comparison of the results of this study with results obtained in a similar study in Newcastle (Spivey and Johnston, 1972) shows that in permanent inhabitants of a tropical area of the world abdominal surgery of moderate severity produces a metabolic response of similar magnitude to that observed in a temperate part of the worl

ISSN:0007-1323    

DOI:10.1002/bjs.1800610115

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractAbout 6 per cent of the patients with infectious diseases of the spine admitted to the Spinal Unit of the Royal National Orthopaedic Hospital have been previously submitted to laminectomy. The purpose of this paper is to re‐emphasize the futility of this operation for paraplegia due to spinal infection. Exceptions to this principle are described and methods of management are also considere

ISSN:0007-1323    

DOI:10.1002/bjs.1800610116

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractReliable bone scans were obtained in 70 patients and 17 control subjects using99mTc‐labelled poly‐ or pyrophosphate with a minimum of patient disturbance.Using these radiopharmaceuticals and a gamma camera system a practical facility for efficient skeletal imaging is now available for nuclear medicine departments in general hospital pract

ISSN:0007-1323    

DOI:10.1002/bjs.1800610117

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractTwo cases of lymphangiosarcoma developing in oedematous arms following radical mastectomy (Stewart‐Treeves syndrome) are reported. Both patients showed marked symptomatic improvement and tumour regression on cyclophosphamide therapy although remission was only temporar

ISSN:0007-1323    

DOI:10.1002/bjs.1800610118

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800610121

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800610125

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800610130

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY