摘要:

SummaryMonitoring of blood volume during surgical procedures may now be performed with considerable precision.After experimental haemorrhage of approximately one fifth of the total blood volume in man, transcapillary refilling of the circulation from interstitial fluid is brisk and results in a restored volume with a stable haemodilution after forty‐eight hours. The degree of haemoglobin or haematocrit fall is proportional to the initial blood loss.Minor or moderate surgical trauma with unreplaced loss results in a similar haemodilution. However, post‐operative extravasation into tissue planes may delay the process of haemodilution for twenty‐four hours, and the haematocrit or haemoglobin level is of no predictable clinical value in the first twenty‐four hours after surgery.Replacement of the blood lost at operation by various fluids has been studied. Whole blood replacement results in inhibition of transcapillary refilling. Electrolyte solutions such as saline have a minor and transient effect, and protein solutions markedly accelerate refilling. Isotonic protein solutions such as 5 per cent, albumin in Hartmann's solution, free of risks of transfusion reactions or of virus hepatitis, are thus of great merit in replacement of moderate blood loss during surgery. Their expense and limited availability makes investigation of synthetic volume substitutes de

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb03882.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryA case of accidental haemorrhage complicated by uterine rupture is reported. Uterine haematomata were palpable through the patient's abdominal wall before the rupture occurred duringinternal version. Hysterectomy was performed and the unusual appearance of the ererus is described.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb03883.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryThe dog's common bile duct was subjected to various injuries and shown to be relatively immune from severe stricture formation after simple crushing or simple incisional injuries. The construction of a pancreatico‐biliary common channel, however, with similar trauma commonly caused severe strictures. The likelihood that pancreatic juice is responsible for this difference and the literature relevant to this subject are discusse

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb03884.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryA brief historical sketch of the history of anal retractors is given, and a new single multi‐purpose instrument describe

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb03885.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryInvaginated Meckel's diverticulum with lipoma at apex, beginning to produce an intussuception.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb03886.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.tb03887.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryA series of 70 patients has been reviewed in an enquiry into the aetiology of varicose veins. After a brief review of current theories, material is presented based on history and physical examination. There is no clinical evidence for the view that varicose veins are due to multiple minute arterio‐venous fistulae and dissatisfaction with the current mechanical theory is emphasize

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb03888.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryFour cases of incurable malignant melanoma treated with attenuated smallpox (B.P.) virus inoculation are reported. The findings suggest that occasionally a worthwhile remission of the disease can be achieved by this means provided the dose of virus used is large, the patient is not immune and there are no gross visceral metastases.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb03889.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY

摘要:

SummaryThe case presented is that of a young male railway worker who presented with diarrhoea and abdominal distension. His history included an attack of jaundice two years prior to admission.Difficulty in diagnosis was due to ascites, an enlarged irregular liver, a 4 plus hydatid complement fixation test and a positive Casoni test. In view of the latter two investigations, it was almost certain that hydatid disease existed but the presence of malignancy and cirrhosis was not so certain. This was resolved at operation.An attempt was made to relieve the portal hypertension and hepatic vein occlusion by anastomosis of the inferior vena cava to the superior mesenteric vein.Autopsy confirmed the presence of cirrhosis with hydatid cysts in the liver and occlusion of the hepatic veins by one of them and the resultant Budd‐Chiari syndrom

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1966.tb03890.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.tb03891.x

出版商:Blackwell Publishing Ltd    

年代:1966

数据来源: WILEY