ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb04477.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb04478.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb04479.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb04480.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Once a patient has been guided past any acute problems of pain, obstruction or urosepsis, the stone type has been identified, and all metabolic problems and dietary indiscretions have been revealed, the physician treating a stone patient is faced with the frequently more arduous problems of treating or preventing the patient's stone disease. Several generalizations can be made about the strategies requisite for successful management of the long‐term problem, and the problem is discussed in this paper in general and in some detai

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb04481.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

An extensive study of the incidence of urinary stone formation has been made, with particular emphasis on idiopathic bladder stones in children, and the work carried out up to the present has been reviewed. The relation of the condition to the factors of historical time, ethnology, geography, socioeconomic status and climate has been studied in detail. While advances in our understanding of its aetiology have been made, the whole problem is still very far from being solved.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb04482.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Nine cases of vesicovaginal fistula which followed hysterectomy, with or without radiotherapy, are presented. The repair by the above‐mentioned technique eventually led to successful closure in all cases. A strong argument can now be advanced that this is the technique of choice in the large, high postoperative type of vesicovaginal fistula which is now the common type of fistula seen in affluent countrie

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb04483.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

The mean circumferences of twenty‐eight ureters have been measured at one‐centimetre intervals from the midpoint. Midureteric constriction was not a regular feat

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb04484.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

The long‐term follow‐up of 65 patients surviving surgery for ruptured abdominal aortic aneurysms is presented. Fifty‐six per cent of these patients were alive at the time of review, having survived for a mean period of 36 months. The majority were enjoying a quality of life similar to that experienced before operation. Preexisting ischaemic heart disease did not alter the long‐term prognosis. Cumulative survival curves for this group of surivivors approximated both the survival curve for the average matched Australian population and similar curves constructed for patients operated upon electively for abdominal aortic an

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb04485.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

In order to determine the long‐term results of aortic valve replacement with the Smeloff‐Cutter prosthesis, the fate of 134 of 139 (96%) consecutive patients was determined one to 12 years after operation. The mean age at operation was 54 years (range 18 to 76 years). Aortic stenosis was the dominant lesion in 77 patients (55%), aortic regurgitation in 36 patients (26%), and 22 (15%) had both aortic stenosis and regurgitation. In addition to aortic valve replacement, 25 patients (18%) had coronary artery bypass, seven (5%) had mitral commis‐surotomy, and four (4%) had other procedures. Preoperative status by NYHA Class was: Class I … 3 patients (2%); Class II … 36 (26%); Class III … 67 (48%); Class IV … 33 (24%). Perioperative (30‐day) mortality was 7% (10/139). Functional improvement was obtained in all postoperative survivors with 86 (70%) in NYHA Class I,28 (23%) in Class II, and nine (7%) in Class III. A perivalvular leak developed in one patient and subacute bacterial endocarditis in two (2%). There were no cases of prosthesis failure or haemolysis. Actuarial long‐term survival was 85% at five years, 75% at eight years. Thromboembolism occurred in eight patients (6%). The incidence of thromboembolism per 100 patient years for patients receiving no anticoagulants was 5·5; taking warfarin 2·4; and taking antiplatelet agents 2·7. Major thromboembolism was uncommon in patients taking warfarin (0·9 episodes per 100 patient years.)The study confirms that the Smeloff‐Cutter aortic valve prosthesis is mechanically durable, has good long‐term haemodynamic performance, and carries a low incidence of thromboembolism even in patients not

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb04486.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY