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51.
Background
Fractures of the intertrochanteric hip are common and the treatment of unstable fractures generally requires an operative approach. In elderly patients, osteoporosis makes internal fixation problematic and frequently contributes to failed fixation and poor clinical results. We have attempted to apply the Less Invasive Stabilization System (LISS) in reverse position for the repair of intertrochanteric hip fractures in elderly patients with osteoporotic bones. A retrospective review is presented of the cases of 28 elderly patients with stable and unstable fractures of the intertrochanteric hip treated using the reverse LISS. 相似文献52.
K. Wangerin und R. Ewers 《Langenbeck's archives of surgery / Deutsche Gesellschaft fur Chirurgie》1987,372(1):881
Zusammenfassung DiePrimärversorgung von Jochbein-, Orbitaring- und frontobasalen Schädelfrakturen ist bei offenen Frakturen, Parästhesien, Mundöffnungseinschränkung, Augenmuskeleinklemmung oder Rhinoliquorrhoe angezeigt. Eineverzögerte Primärversorgung bis 2 Wochen nach Trauma wird vorgenommen, wenn durch Schwellung die Diagnostik erschwert wird oder eine Infektion vorliegt. Wenn wegen vitaler Gefährdung anästhesiologische oder neurochirurgische Gründe vorrangig sind, werdenSekundärversorgungen durchgeführt. Sie bestehen in der Osteotomie dislozierter Fragmente, Defektrekonstruktion, Orbitabodenherstellung oder -unterfütterung, strabologischen Korrekturen oder Liquorfistelverschluss. 相似文献
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B Kinner H Goos P Ewers B Krosse I Sauer 《Zeitschrift für die gesamte innere Medizin und ihre Grenzgebiete》1989,44(5):152-157
For the characterization of the left-ventricular thickness of the wall, of the diameter and of the functional parameters in obesity in a short-term investigation on 18 extremely adipose female normotonics and 17 normotonics with normal weight the echocardiographic investigation in the M-mode in the short parasternal axis was performed. The women with overweight had a by 28% (p less than 0.001) greater fractional shortening, a by 8% (p less than 0.01) greater ejection fraction, a by 23% (p less than 0.05) greater stroke volume and a by 34% (p less than 0.001) greater cardiac output as well as a by 13% smaller left-ventricular end-systolic volume than normotonic women with normal weight. Index of stroke volume and cardiac output did not differ. The women with overweight had a significantly larger left-ventricular end-diastolic diameter and a thicker interventricular septum as well as a larger thickness of the left-ventricular posterior wall in the systole. The results allowed the conclusion that changed left-ventricular parameters both with regard to the form and to the function in obesity per se might be the expression of the physiological adaptation to an increased requirement and the borderlines to the transition into a disturbed left-ventricular function and development of a left-ventricular hypertrophy were not fixed. Long-term studies should bring further explanation concerning these problems. 相似文献
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C Neoh FCOphth A Agius-Fernandez FCOphth SB Kaye MD FCOphth EM Molyneux MRCP CA Hart PhD MRCPath 《International journal of clinical practice》1994,48(1):27-28
SUMMARY Four cases of primary meningococcal conjunctivitis in children are reported. This represents an incidence of 2% of patients presenting with conjunctivitis to a paediatric A&E department. All were initially treated with topical chloramphenicol, followed by systemic rifampicin once the diagnosis had been established. No ocular or systemic complications developed, nor recolonisation of the conjunctiva or colonisation of the nasopharynx at follow-up (1–2 years). 相似文献
59.
There is abundant evidence of immune modulation induced by exposure to blood transfusions. Some studies have demonstrated a detrimental effect of transfusion on the recurrence of malignant disease and survival. We retrospectively studied the impact of blood transfusion exposure on 229 patients with breast cancer who were seen from July 1973 to September 1980, had at least 5 years' follow-up and had been randomized by therapy at the time of diagnosis. The patients were divided into four groups according to transfusion history: Group 1 (111 patients), no transfusion; Group 2 (34 patients), first transfusion after mastectomy; Group 3 (41 patients), first transfusion at mastectomy; and Group 4 (43 patients), first transfusion before mastectomy. All transfused patients received red cells or whole blood or both. At the time of analysis, 124 (54%) of the patients had died. Only Group 2 was statistically associated with decreased survival; recurrence of disease was 85 percent in this group, compared with 53 percent to 61 percent in the other three groups (p = 0.006, log-rank test). In general, Group 2 patients received transfusions because of recurrent disease. We conclude that transfusions before or at mastectomy are not associated with increased recurrence or reduced survival in patients with breast cancer. 相似文献
60.
A Pareek SD Zawar SB Salagre NB Chandurkar ND Karnik 《European journal of medical research》2009,14(7):297-303