ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05741.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

The islets of Langerhans, initially thought to be devoid of function, can be the site of tumour formation with serious and often lethal complications. One of the associated syndromes may be diarrhœal, due to secretion of a polypeptide of which the exact nature still awaits complete elucidation. This must ultimately be achieved by radioimmunoassay. The diarrhœogenic pancreatic tumours are discussed, three cases being reported in deta

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05742.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

A series of arterial embolectomies of the lower limb is reviewed, and the results are compared with those in a previous series reported from this hospital. There were 40 emboli in the 36 patients, with an operative mortality of 16% and a limb salvage rate of 85%. This represents a considerable improvement on the results reported from the first series and is attributed to the greater experience of surgeons with the Fogarty embolectomy catheter. However, there has been no decrease in the delay between the onset of symptoms and the embolectomy. If this aspect of management could be improved, then even better results should be obtained

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05743.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Upper limb embolus cannot be regarded as a benign condition, with invariable recovery due to copious collateral circulation. Gangrene of the upper limb may occur, as shown in the series of cases in this report. The overall mortality rate remains considerable, because of associated cardiac disease, recurrent embolism, or both. Emboli proximal to the origin of the profunda brachii artery represent a group associated with higher risk, for which prompt cmbolectomy is often indicated. In embolism due to subclavian aneurysm and with thrombosis, arterial reconstruction should be undertaken, for multiple recurrence is likely. Long‐term anticoagulant therapy is usually required to try to prevent recurrence of embolism if the primary source of the embolus remai

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05744.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Twenty‐nine upper dorsal sympathectomies have been carried out in 18 patients and a comparison made of the supraclavicular with the axillary approach to the upper thoracic sympathetic chain. Thirteen of these operations were carried out for essential hyperhidrosis, 15 for ischcemia in the hand and one for post‐traumatic pain syndrome. Fourteen sympathectomies were carried out through the axilla and 15 through the supraclavicular approach. Postoperative pain was felt to be somewhat more severe when the axillary approach was used, but other complications were infrequent and hospital stay was slightly shorter in the axillary group. The axillary approach was felt to offer superior exposure, the capability for wider sympathetic excision, good cosmetic results, avoidance of Horner's syndrome and low morbidity. In the absence of lung disease or the need for a direct exploration of the root of the neck, the axillary approach is to be preferred for upper dorsal sympathec

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05745.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

The cases of five young women who presented with severe pain and associated vascular changes in one foot are described. The pain was spontaneous in onset and lasted for days, and its severity was such that none of the patients were able to walk without disability. Arteriography in three patients revealed arterial spasm. All had a good response from lumbar sympathectomy on the affected side

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05746.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Two cases are presented which represent different aspects of damage to the posterior wall of the left ventricle following mitral valve replacement. In the first case rupture of the ventricle occurred in the immediate postoperative period with a fatal result, while in the second, delayed aneurysm formation occurred with embolic and hemodynamic complications. This patient also did not survive. A review of the literature reveals four similar cases previously recorded. Possible (etiological factors are considered, including operative trauma, ischemic damage, rupture of unsupported muscle, previous surgery with the development of pericardial adhesions and fixing of the valve ring, and finally abscess formation. The indications for operative intervention and possible complications of the aneurysm are noted

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05747.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Intrapericardial herniation of abdominal viscera following blunt abdominal trauma is rare. Wc have been able to find only nine reported cases. Six of these were finally diagnosed after a long delay, ranging from a year to 23 years. Three were diagnosed within three months of the original injury, but in these patients, the investigations were initiated following an abnormal chest skiagram. We wish to report a unique case in which a traumatic intrapericardial hernia presented as an acute cardiac tamponade within 48 hours of injury

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05748.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

A case of primary malignant hemangiopericytoma of the lung is described. The clinico‐pathological features and treatment are discuss

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05749.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

A pica is made for the recognition of a disorder of the colon, commonly encountered in the elderly, which is characterized by elongation (and also by dilatation) of the colon, especially the sigmoid. It may give rise to symptoms which suggest a diagnosis of carcinoma. The condition is believed to be acquired, and is an important (etiological factor in the development of sigmoid and, less frequently, of ccecat volvulus

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05750.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY