ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb05500.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryA case of severe sodium deficit following drainage of the common bile duct is described with oliguric renal failure. It is emphasized that despite extensive studies of sodium metabolism in man, clinical recognition of depletion of this cation in surgical patients is difficult, and may not be appreciated until late. Methods of early diagnosis, the mechanism of development of acute renal failure in such subjects, and the existence of “susceptible” groups of patients are discussed. Finally, a number of recommendations for the management of sodium depletion are m

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb05501.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb05502.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryExperimental heart‐lung by‐pass surgery presents some problems not generally encountered in human open‐heart surgery, not the least of these being the additional burden this essential surgery places on an already hard‐pressed by‐pass unit.In evolving a simpler and more satisfactory technique for use in the experimental laboratory various modifications were made to the technique generally employed at Green Lane Hospital. These modifications, and the underlying reasons for making them are

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb05503.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb05504.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb05505.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

Summary1. Nine cases of duodenal injury were encountered in six years in the Professorial Surgical Unit, General Hospital, Singapore.2. Four were stab wounds and five were closed injuries with a mortality of 22 per cent.3. Case summaries are reported.4. Experience suggests that stab wounds are more easily diagnosed, treated and managed post‐operatively. Blunt injuries on the other hand are seldom diagnosed pre‐operatively; their more varied course and treatment is discussed, and management of some complications no

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb05506.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryMeasurements of blood oxygen saturation and dye‐dilution studies in patients with varicose veins have failed to support the standard theories of the aetiology of this condition. No real evidence has been obtained to indicate that this condition may be due to the presence of abnormal arteriovenous communications. By a process of exclusion, it has been indicated that the primary pathology may lie in the vein wal

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb05507.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryAlthough an uncommon injury, Smith's fracture is a fracture around a wrist joint which must be remembered in all injuries in this vicinity. Its diagnosis was missed in 75 per cent of cases in this series.Smith's fractures fall into 4 distinct types as determined by the patient's age and X‐ray appearances.It is suggested that all Smith's fractures should be reduced with the hand in maximum supination, in an above‐elbow plaster cast, for six weeks.Even when adequately treated, all patients are left with some disability, but this is very much less than in those where the diagnosis is missed or the fracture treated as a Colles' fracture, or treated by open reduct

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb05508.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

Summary1. Seventy‐two members of the Ileostomy Association of South Australia were reviewed and 9 (12.5 per cent) found to have associated urolithiasis. The majority of stones (5 out of 7 chemically analyzed) proved to be uric acid in nature.2. The main aetiological factor would seem to be the loss of alkaline fluid and electrolytes from the ileostomy, resulting in the passage of persistently acid urine of low volume and high specific gravity.3. Prevention may prove difficult and the importance of a properly functioning ileostomy without stenosis is stresse

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb05509.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY