ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1989.tb01657.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1989.tb01658.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

A kindred with multiple endocrine neoplasia type ha was studied. In four of five fully documented cases, patients presented with adrenal medullary disease during the second or third decade; in three cases, medullary thyroid carcinoma was not diagnosed until the fourth decade. This kindred seems to have an aggressive variant of adrenal medullary disease in which clinical presentation is early, metastasis occurs, and oncological cure is uncommon. Early detection and operation were important, and symptoms were controlled with operations and α and β‐adrenergic blockade in uncured memb

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1989.tb01659.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

The clinical, laboratory and operative findings from three cases of extra‐adrenal phaeochromocytoma are reviewed. Some of the difficulties encountered in localizing such a neoplasm are highlighted. Data from intraoperative catecholamine monitoring on the three patients are also presented. Adequate alpha and beta blockade produced stable cardiovascular parameters during surgery in all three individual

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1989.tb01660.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Ten patients with idiopalhic faecal incontinence underwent postanal repair based on clinical assessment of their symptoms. Their manometric and radiological values before surgery were compared with values from 10 normal volunteers and then the changes following surgery were examined and correlated with the clinical results. Anal manometry was performed using a multilumen, low compliance, perfused catheter system. Anorectal angles and perineal descent were established radiologically. Pre‐operative manometry demonstrated significant reduction in maximum anal squeeze pressure (median 77mmhg versus 200mmhg), the volume required to inhibit the rectoanal reflex (median 40 ml versus 70 ml), and the volume retained in the saline continence test (median 400 ml versus 1500 ml). The majority of patients had obtuse anorectal angles (six of 10 at rest), and abnormal perineal descent (eight of 10 on straining). Nine patients have been improved clinically following surgery. Postoperative manometry and radiology have been performed in seven patients and have shown no significant changes. Anal manometry and radiology are objective means of documenting faecal incontinence although their role in selecting patients for surgery is not yet determined. Postanal repair is effective in restoring continence, although the parameters measured have not explained the mechanism of this effec

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1989.tb01661.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

During the last 40 years, 579 babies with oesophageal atresia and/or tracheo‐oesophageal fistula have been admitted to the royal children's hospital (rch), melbourne. There are 393 survivors. Advances in the surgical management have contributed to lowering the morbidity and mortality rates. This paper describes current surgical management of each anatomical variant at rch; specific reference is made to the problems of the long gap oesophageal atresia and prematurit

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1989.tb01662.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Lawn mowers cause severe injuries, particularly to the lower limbs in children. The study of 52 inpatient cases treated over 12 years shows that ride‐on lawn mowers cause the most severe trauma, resulting in longer hospitalization. These children more often require further admissions for reconstructive surgery including free tissue transfer. These accidents can be avoided if young children are prevented from playing near or using power lawn mower

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1989.tb01663.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Bicycle injuries are an important cause of trauma. Approximately 75% of such accidents occur in children and involve difficult decisions in the areas of education, engineering and legislation. A prospective 3‐year study was undertaken to understand the range of injuries and in particular to concentrate on severe injuries.In all. 251 children were admitted to westmead hospital after receiving bicycle injuries. Most injuries were minor but there were 37 serious injuries and six deaths. Head injuries predominated, especially in the seriously injured. The rate of wearing helmets was low, with less than 10% of all admissions wearing a helmet. None of the seriously or fatally injured wore a helmet. Helmet‐wearing remains the single most important preventative measure to be instituted if the serious morbidity and mortality rates associated with bicycle injuries are to decre

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1989.tb01664.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Paralytic ileus and intestinal adhesions are common events following infra‐abdominal surgery. The theoretical hypothesis ‘that stimulation of the postoperative bowel will reduce intestinal adhesions’ was studied in a rat model for intestinal adhesions in which postoperative bowel motility was pharmacologically manipulated.Immediate postoperative stimulation of gastrointestinal motility by the prokinetic agent, cisapride, resulted in a significant reduction in both the number and extent of adhesions.Inhibition of postoperative intestinal motility with the anticholinergic agent, atropine, resulted in a greater number of more dense adhesions involving an increased length of

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1989.tb01665.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1989.tb01666.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY