摘要:

AbstractCase histories of three young women who suffered small bowel infarction associated with oral contraceptives and progestational agents are presented. Two infarctions were due to superior mesenteric artery thrombosis and one to superior mesenteric vein thrombosis. All of these patients were of blood group A and smokers, factors which are known to predispose to vascular thrombosis. A study was made of 18 additional cases reported in the literature. It was found that many of these cases presented with a history of symptoms of 2 weeks or more and at operation some of the cases appeared to be reversible. One case was reported where apparent reversion of the process of vascular thrombosis occurred after cessation of the oral contraceptive.

ISSN:0007-1323    

DOI:10.1002/bjs.1800640802

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractThis paper describes the use of a system of computeraided diagnosis in an unselected, prospective survey of 393 women suffering from lower abdominal pain of less than 1 week's duration. An accurate diagnosis was made by clinicians at first patient contact in 68·5 per cent of the group of patients. The computer's diagnostic prediction (based on the same data) matched the final diagnosis in 81·6 per cent of the patients. During this survey a marked improvement in diagnostic accuracy was observed amongst the junior clinicians. It is suggested that this is because of the discipline of data collection imposed and the intermittent feedback received, and also that this educational aspect of computer usage may be of wider benefi

ISSN:0007-1323    

DOI:10.1002/bjs.1800640803

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractA small hepatoma was diagnosed by selective arteriography in 2 patients admitted for treatment of bleeding oesophageal varices. In both cases, hepatoma and variceal lesions were successfully treated. In the first case, left gastric vena caval shunt and local excision of the hepatoma were performed. In the second case, distal splenorenal shunt and local excision of the tumour were carried out. Although a combination of hepatoma and oesophageal varices may be an embarrassing problem, both lesions can be remedied provided that hepatoma is diagnosed at an early stage. It is stressed that arteriography is of value in assessment.

ISSN:0007-1323    

DOI:10.1002/bjs.1800640804

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractFour cases of renovascular hypertension cured or improved by renal autotransplantation are described. In one case correction of renal ischaemia resulted in an improvement of renal function. Previous reports of this technique are reviewed and the limitations of the more standard operation of saphenous vein bypass graft are discussed.

ISSN:0007-1323    

DOI:10.1002/bjs.1800640805

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractCadaveric kidneys are sometimes unsuitable for transplantation because of possible ischaemic damage. The advent of perfusion preservation machines has enabled evaluation of perfusion characteristics and perfusate changes of organs prior to transplantation. This study has evaluated the changes in perfusate pH, locate dehydrogenase, lactate and free fatty acid utilization in an attempt to identify those kidneys with ischaemic damage.In this investigation no single factor was discriminatory and it was not possible to predict with any degree of certainty those kidneys liable to delayed function or to non‐functio

ISSN:0007-1323    

DOI:10.1002/bjs.1800640806

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800640807

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractOur experience in the use of a silicone foam elastomer in the dressing of granulating wounds is described in a series of 250 patients. Among the types of wound treated were a pilonidal sinus, abdominal, perianal and perineal wounds, bed sores and diabetic gangrene of the foot. The technique has marked advantages over conventional packing of wounds in relation to patient comfort and saving of nursing time in hospital, and can eliminate the need for district nursing care in the domiciliary situation. Details of preparation, application and surgical management are given.

ISSN:0007-1323    

DOI:10.1002/bjs.1800640808

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractFive cases of iatrogenic phrenic nerve injury in infants are presented. The difficulties of diagnosis and treatment are outlined and reference made to the possible sites of injury. The necessity for early recognition of the injury, and its prompt relief if indicated, are stressed.

ISSN:0007-1323    

DOI:10.1002/bjs.1800640809

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractThis study was performed in order to determine the effects of the structural configuration of prosthetic aortic valves upon coronary blood flow. A pulse‐duplicating system was utilized to which a rigid model of the root of the aorta and the left artery were attached. A stented normal human valve, stented porcine valve, pivoting disc valve, tilting disc valve and a caged ball valve were tested at simulated resting conditions. The results showed that the pulse configuration and proportions of coronary flow that were systolic and diastolic changed with various valves. There was no significant reduction of the mean simulated coronary flow with the porcine valve or disc valves. Coronary flow was augmented with the caged ball valve. These differences were interpreted as being due to several fluid dynamic phenomena. These were piston effects, inertia of reversed blood flow, torque and the effects resulting from the unique pressure distribution on each valv

ISSN:0007-1323    

DOI:10.1002/bjs.1800640810

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY

摘要:

AbstractThis paper reports a fractured femur, jejunal laceration and a torn aorta in a young man who appeared reasonably well on admission to hospital. The diagnostic problems and treatment of this case are discussed.

ISSN:0007-1323    

DOI:10.1002/bjs.1800640811

出版商:John Wiley&Sons, Ltd.    

年代:1977

数据来源: WILEY