ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1988.tb01098.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1988.tb01099.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1988.tb01100.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

This study was designed to test the hypothesis that protein depleted surgical patients are at an increased risk of postoperative complications following major surgery; 101 patients and 59 normal volunteers had measurements of nutritional status (weight loss (YO), midarm muscle circumference, plasma transfenin and pre‐albumin concentration and a direct measurement of pre‐operative protein depletion, the protein index) and the patient's postoperative course was carefully monitored from the time of operation until discharge. The patients were divided into two categories on the basis of the extent of protein depletion: non‐protein depleted patients (4% mean protein loss) and protein depleted patients (39% mean protein loss). The protein depleted patients had a significantly higher incidence of major complications, pneumonia and stayed in hospital longer (both overall stay and postoperati

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1988.tb01101.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Forty‐seven patients aged more than 75 years with acute pancreatitis were studied. The most common cause of acute pancreatitis was biliary tract stones. The clinical presentation and severity of the disease as judged by the number of poor prognostic factors were not different from the group of patients aged less than 75 years. The mortality rate in the older group was thrice that of the younger group (21.3% versus 7.24%). The higher mortality rate was explained by a higher incidence of deaths related to complications of biliary stones and coincidental diseases. Significantly more aged patients with mild disease died, indicating the limitation of predictive ability of the scoring system in acute pancreatitis of the age

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1988.tb01102.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

A total of 50 consecutive patients who were treated in JIPMER Hospital between 1970 and 1981 for corrosive injuries of the oesophagus and stomach were analysed. There were 23 males and 27 females. All but seven presented with dysphagia due to an established stricture. In addition seven of them had associated stricture of the stomach. They were treated with either repeated dilatations or, in selected cases, oesophageal replacement. Perforation of the oesophagus is an important complication associated with oesophageal dilatation indicating the need for oesophageal replacement in multiple or long dense strictures. Results are quite satisfactory with both modalities of treatment. However, oesophageal replacement surgery, performed properly in selected cases, offers a permanent solution to these unfortunate victims.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1988.tb01103.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

An early case of perianal Paget's disease is described in a 59 year old female. Literam search revealed 57 documented cases up to 1987. Diagnosis is suspected on clinical features and needs to be always conf'd by biopsy with routine stains, and, in doubtful cases, also by electron microscopy and immunohistology. The extent of the primary disease and the presence of an associated adnexal or anorectal cancer must be established. Wide surgical excision of the primary lesion, preferably with frozen section examination of the excised margins and undersurface, is the preferred treatment. Associated adnexal or anorectal cancer is treated on merit. Recurrent disease is managed by further excision, topical chemotherapy andlor laser therapy. Prognosis depends on the extent of the primary lesion, on the adequacy of the primary excision, and on the presence of an associated adnexal or anorectal cancer. In apparently cured cases, long‐term surveillance is recommende

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1988.tb01104.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

In a prospective longitudinal study of patients in a general surgical ward, the relative cost‐efficiencies of a long‐acting third generation cephalosporin (ceftriaxone—mean plasma eliminationt1/2390 min) and a short‐acting second generation cephalosporin (cephamandole: mean plasma eliminationt1/232 min) were determined. The total cost of therapy for 24 h was $32.88 for cephamandole and $22.78 for ceftriaxone, that is, a reduction of 31%. Considerable cost containment can be achieved by using third generation cephalosporin agents that only require the administration of one intravenous injection

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1988.tb01105.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

In a series of 50 patients with testicular tumours evaluated prior to orchidectomy, 12 out of 19 with pure seminoma and seven out of 31 with non‐seminomatous or mixed seminomatous and non‐seminomatous germ cell tumours had elevated plasma lactate dehydrogenase isoenzyme 1 concentrations. In contrast. seven of the 19 seminoma patients had elevated serum human chorionic gonadotrophin (hCG) concentrations and 25 of the 31 non‐seminomatous and mixed seminomatous and non‐seminomatous gem cell tumour patients had elevations of hCG and/or α‐fetoprotein. Using these three markers, 12 out of 19 seminoma patients and 27 out of 31 non‐seminomatous or mixed seminomatous and non‐seminomatous tumour patients were positive for one or more of these

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1988.tb01106.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

A case of inflammatory pseudotumour of the liver is described, the twelfth such case reported. Although these lesions are benign and self‐limiting, they may encroach upon the biliary tree or portal vein and may be confused with hue hepatic neoplasia. In the presence of single or multiple hepatic deposits seen on radiologic examination, a history of fever (or other systemic symptoms) and a negative fine needle aspiration biopsy should raise the possibility of inflammatory pseudotumour and prompt formal biopsy to guide further treatmen

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1988.tb01107.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY