ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1947.tb03685.x

出版商:Blackwell Publishing Ltd    

年代:1947

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1947.tb03686.x

出版商:Blackwell Publishing Ltd    

年代:1947

数据来源: WILEY

摘要:

ZusammenfassungParoxysmale Tachykardio und Flattern in den ersten Lebens‐wochen werden in bezug auf Ätliologie, Symptome und Therapie erörtert. Bine Zusammenstellung von 17 Fällen aus dem Schrift‐tum macht ersichtlich, dass der Herzrhythnms bei paroxysmaler Tachykardie im grossen und ganzen unter, bei Plattern über 300 Schlägen pro Minute liegt. Der Übergang ist fliessend. Dies könnte nach Verf. darauf hindeuten, dass zwischen den beiden Herzfrequenzstörungen in diesem Alter eher ein Grad‐ als ein Artunterschied besteht. Therapeutisch ist Digitalis das Präparat, welches bisher die besten Eesultate geliefert hat. Bei den Fallen aus dem Schrifttum war die Digitalisdosierung oft auffallend hoch; Verf. berichtet aber iiber einen eigenen Fall, bei dem eine so ge‐ringe Digitalisdosis wie 3mal tägl. 2.5 mg, im Alter von 4 Wochen gegeben, ein angeborenes Flattern mit der Frequenz A. 440, V. 220 nach fünftägiger Behandlung in einen dauernden normalen Herzrhythnms umwandelte.SUMMARYParoxysmal tachycardia and flutter in new‐borns are discussed as regards aetiology, symptoms and therapy. A survey of 17 cases from literature indicates that the heart rate with paroxysmal tachycardia generally ranges below 300 per minute, and with flutter above this figure. Still, this border‐line is not sharply defined. This might, in the writer's opinion, be taken to indicate a difference rather of degree than of type between both anomalies of the heart rate at the age in question. As to treatment, it is digitalis that hitherto has given the best residts. According to literature, the doses of this drug have often been remarkably high. The writer, however, reports a case in which doses of digitalis as low as 2.5 mg three times daily, starting at the age of 4 weeks, after 5 days' treatment had changed a congenital flutter with the rate A, 440 and V, 220 into last

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1947.tb03687.x

出版商:Blackwell Publishing Ltd    

年代:1947

数据来源: WILEY

摘要:

SUMMARYAn account is given of 195 cases of pneumonia and bronchopneumonia in children from 0 15 years of age, treated in the medical wards of Kronprinsessan Lovisas Barnsjukhus during the period ½ 1941 ½ 1945.In all the cases chemotherapy has been given in the form of a massive single dose. In 48 cases (24 %) the massive dose treatment has been supplemented by continuous chemotherapy. Sulphapyridine, sulphathiazole and sulfadimin have been used. The dosage has been 0.3 g per kg body weight for children under 3 years, and 0.2 g per kg body weight for the others, with 8 g as the maximal dose.There have been few complications, and the toxic side‐effects have been extremely slight. 5.6 % fatal cases are recorded of all the cases observed, but if those cases where pneumonia has appeared as a complication of a serious congenital malformation or of a serious primary basic illness, are subtracted, the mortality is 2.1 %.As the massive single‐dose treatment is technically easy to carry out, gives the patient more repose than does the continuous treatment during the period when the illness is most severe, lessens to a considerable degree the work of the hospital personnel, gives a result which can be compared favourably with that of continuous chemotherapy, gives rise to few complications and toxic side‐effects, this treatment can be recommended for pneumonia in children.Satisfactory results have also been obtained with massive single‐dose treatment in eases of capillary b

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1947.tb03688.x

出版商:Blackwell Publishing Ltd    

年代:1947

数据来源: WILEY

摘要:

SUMMARYTo elucidate the etiology of icterus neonatorum which is still obscure urobilinogen tolerance tests were performed on 31 newborn and a few infants with diseases of the liver and bile passages. The technic of WITH (1946) was used. The results of the investigation point towards the existence of some degree of liver insufficiency in the newborn, but they are difficult to evaluate as the test is also influenced by other factors than the liver function, presumably the kidney function. The test is consequently of no use as a functional liver test in infants.Attention is drawn to the fact that the serum bilirubin concentration in icterus neonatorum is much higher than in the forms of hemolytic jaundice in adults, which speaks against the hemolytical theory of the origin of icterus neonatorum.

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1947.tb03689.x

出版商:Blackwell Publishing Ltd    

年代:1947

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1947.tb03690.x

出版商:Blackwell Publishing Ltd    

年代:1947

数据来源: WILEY

摘要:

SUMMARYA case of haemosiderosis pulmonum is recorded in a girl who was 6 ½ years old when the disease began and 10 ½ years old when she died. The diagnosis, made during life, depended on the signs: An intermittent course of the disease, sideropenic and haemolytic anaemia, numerous haemoptyses, miliary infiltrations of the lungs and «heart failure cells» in a section of the blood‐stained sputum. There was no sign of heart disease. No post‐mortem exam

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1947.tb03691.x

出版商:Blackwell Publishing Ltd    

年代:1947

数据来源: WILEY

摘要:

SUMMARYTwo cases of hermaphroditismus verus. The cases are almost congruent. The patients are, practically speaking, of the same age. Both have greatly enlarged clitoris, persistent sinus urogenitalis, hyperplasia of the suprarenals and malformation of the external genitals. As to the cause of death it is difficult to say anything definite. One of the patients had an infection of the urinary ducts, but can hardly be thought to have been lethal. In the other case no infection was noted. As to whether endocrine anomalies may have been the cause of death it is impossible to express any opinion.

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1947.tb03692.x

出版商:Blackwell Publishing Ltd    

年代:1947

数据来源: WILEY

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1947.tb03693.x

出版商:Blackwell Publishing Ltd    

年代:1947

数据来源: WILEY

摘要:

ZusammenfassungEs ist die Stickstoffausscheidung nach der Infusion von irischem und konserviertem Zitratblut bei Sauglingen untersucht worden.Das frische Blut und das frische Zitratblut rufen in der Stickstoffausscheidung einen kleinen Anstieg im Vergleich zur Zeit vor der Blutiibertragung hervor. Von dem Stickstoff des infu‐dierten Blutes werden jedoch 55,4 101,0 % retiniert. Von den Versuehsserien sind 2 mit frischem Blut durchgefuhrt worden und 3 mit frischem Zitratblut.Von dem 5 14 Tage lang konservierten Zitratblut warden 39.6—16 % retiniert. Der grösste Teil des Stickstoffs wird im Harn ausgeschieden. 3 Fälle.Bei 2 Fällen trat in den Tagen nach der mit konserviertem Zitratblut dürehgefuhrten Blutübertragung plötzlicher Durch‐fall ein. Bei dem einen nahm die Stickstoffausscheidung im Vergleich zu den oben erwahnten Versuchen überhaupt nicht zu, und bei dem anderen schien trotz der Diarrhöe sogar noch der mit dem Blut zugeführte Stickstoff retiniert zu werden. Dieser Umstand wird durch den erhohten Stickstoffbedarf im Organ

ISSN:0803-5253    

DOI:10.1111/j.1651-2227.1947.tb03694.x

出版商:Blackwell Publishing Ltd    

年代:1947

数据来源: WILEY