ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01340.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01342.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

The pattern of vascular surgery at westmead hospital from 1979 to 1985 has been reviewed. There has been an upward trend in the number of patients having repair of abdominal aortic aneurysm and carotid endarterectomy. However, the number of operations for peripheral vascular disease has not increased. This may be due to the increasing usc of percutaneous transluminal angioplasty (pta), but it may also be associated with the inmasing difficulty in obtaining hospital admission for patients with conditions not immediately life or limb threatening.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01343.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Doppler ultrasound is a useful adjunct to clinical examination for varicose veins. A simple study demonstrated that someone inexperienced in the use of a doppler ultrasound can rapidly acquire sufficient expenise to use the instrument effectively.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01344.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

The analgesic effcacy, side effects and cost of administration of regimens of intravenous buprenorphine and intravenous morphine were compared in a randomized double‐blind trial performed during the first 24 h after cardiac surgery. Seven patients received buprenorphine by intermittent intravenous injection and six received morphine by continuous infusion. Both these regimens provided good analgesia for the entire 24 h period, with only mild pain at rest and moderate pain on vigorous coughing. Both regimens also produced mild respiratory depression but this was not of clinical importance: the mean arterialpco2in both groups was less than 45 mmhg after extubation.The major difference between drugs in the clinical setting was the ease of administration. Buprenorphine had no narcotic code restriction and could be given by intermittent intravenous injection, whereas morphine required checking and handling as a restricted drug and administration by continuous intravenous infusion. When labour and material costs were computed, over the first 24 postoperative hours, it cost $19.76 per patient to administer morphine, but only $3.16 to administer buprenorphine. Thus the use of buprenorphine injections for the first 24 h after cardiac surgery produced pain relief and respiratory depression comparable to that produced by a morphine infusion, but with a significant cost saving in terms of labour and material

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01345.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

This study determines the efficacy and safety of continuous infusion of morphine following major surgery in non‐ventilated children being nursed in general paediatric surgical wards. Pain and analgesia were assessed by a linear analogue scale. Assessment of pain by nursing staff was similar to that made by the patient and parent. Continuous infusions were easy to institute, well accepted by staff and patients alike and resulted in few side effects. The safety and efficacy of morphine infusions allow for wider adoption as a routine method of analgesia for children following major surger

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01346.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

At the queen victoria medical centre between 1981 and 1984. 2920 fine needle aspirates of the breast were examined with an overall diagnostic accuracy of 97% and a sensitivity of 80%. This high diagnostic accuracy combined with the ease and complication‐fm nature of the procedure has meant that fine needle aspiration (fna) has become an important p˜tl of the investigation and management of breast disease within the breast service of the queen victoria medical cent

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01347.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

The giant breast tumour of adolescence is rare in caucasians. Six cases seen over 10 years are reported to illustrate diagnostic problems and highlight the importance of conservative management. Malignancy may be suspected because of rapid growth and skin ulceration. Conversely, the lesion may be considered to be no more than asymmetrical breast development or virginal hypertrophy. Clinical management problems have arisen because of confusion between fibmadenoma and the term cystosarcoma phylloides, previously used for tumours seen in older patients. The histological distinction between giant fibroadenoma and phylloides tumour has important clinical implications in older age groups. These implications do not apply to caucasian adolescents in whom these tumours have a wide spectrum of histological appearances but uniformly benign clinical behaviour. Giant fibroadenoma of adolescence is a satisfactory designation and simple enucleation a sadsfactory treatment, irrespective of the histological appearance.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01348.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Vein allografts were studied in rats using the major histocompatibility complex‐incompatible da (rtia) and lew (rti1) inbred strains. Allografts from da rats were inserted in to 22 lew hosts, and vice versa, by interposing a 5 mm segment of donor iliolumbar vein into a defect in the host's iliac artery (i mm in diameter). Using microsurgical techniques. Grafts were leftin sirufor 6 weeks and were then tested for evidence of sensitization by the insertion of an allogeneic fetal heart from the donor strain into the host's foot pad. The fetal hean beat was recorded with an ecg and the time of rejection determined by the cessation of ecg activity. As controls, allogeneic donor fetal hearts were implanted into 40 host rates (20 of each strain) which had not previously received a donor vein allograft. These were monitored by ecg. As above.Control lew host rats rejected da fetal hearts in a mean time of 8.45 days. Control da hosts rejected lew fetal hearts in 8.70 days. Da hosts with lew vein allografts did not reject donor fetal hearts significantly sooner (mean 8.33 days) than the controls. However, lew host rats with allografted da veins rejected subsequent da fetal hearts in 7.18 days, which was significantly sooner than in controls (8.45 days). These data provide evidence of sensitization of the rejection response by vein allograft

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01349.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1987.tb01350.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY