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91.
92.
93.
C. J. HARRISON J. W. L. PUNTIS G. M. DURBIN P. GORNALL I. W. BOOTH 《Acta paediatrica (Oslo, Norway : 1992)》1991,80(11):1113-1116
ABSTRACT. Two atypical cases of colitis due to cow's milk protein intolerance (CMPI) are reported, affecting preterm infants. One developed a toxic dilatation of the colon and responded well to a casein hydrolysate based feed. The second presented insidiously and failed to tolerate a casein hydrolysate, but responded well to a chicken-based modular feed. 相似文献
94.
Changes in the content of the opiate peptide Met-enkephalin at the early stages of immune response are studied in different
structures of rats brain 20 min and 24 h after immunization with sheep erythrocytes.
Translated fromByulleten’ Eksperimental’noi Biologii i Meditsiny, Vol. 123, No. 2, pp. 170–172, February, 1997 相似文献
95.
J. P. Clarke 《Intensive care medicine》1997,23(1):106-109
Objective: To determine the effects of pressure control inverse ratio ventilation [PC-IRV], as compared with volume controlled normal
ratio ventilation [VC], on the intracranial pressure [ICP] of patients with severe head injury.
Design: A prospective study with unblinded intervention.
Setting: The Intensive Therapy Unit of a base hospital.
Patients and participants: Nine cases of head injury requiring mechanical ventilation and intracranial pressure monitoring were studied.
Interventions: Patients were twice transferred from VC (I:E ratio 1:2) to PC-IRV (I:E ratio 2:1). Firstly, tidal volume was maintained
at an equal value. Secondly, end tidal CO2 was maintained at an equal value. No other changes were made to ventilation, vasopressor therapy or ICP control.
Measurements and results: Measurements were taken of ICP, mean arterial pressure (MAP) end tidal CO2 and respiratory parameters. In the first observation, there were significant changes in peak inspiratory pressure (PIP),
mean airway pressure (Paw) and intrinsic positive end expiratory pressure (PEEP) but not for ICP, end tidal CO2, MAP and cerebral perfusion pressure (CPP). The correlation between change in ICP and change in end tidal CO2 was r=–0.74. In the second observation there were significant changes in tidal volume, PIP, Paw and intrinsic PEEP but not for
ICP, MAP and CPP. The correlation between the change in ICP and the change in Paw was insignificant.
Conclusions: PC-IRV has a minimal net effect on ICP. Changes in ICP correlate more strongly with changes in CO2 than changes in Paw.
Received: 16 January 1996 Accepted: 2 September 1996 相似文献
96.
Deepu Banerji Rajesh Acharya Sanjay Behari Devendra K. Chhabra Dr. Vijendra K. Jain MCh 《Neurosurgical review》1997,20(1):25-31
The choice of a surgical approach for multi-level cervical spondylotic myelopathy (CSM) and ossification of the posterior longitudinal ligament (OPLL) is still a controversial issue. While most of the surgeons are still performing decompression by laminectomy some are doing multi-level anterior decompression. Few neurosurgeons are performing decompression by corpectomy. We have treated 26 patients by median cervical corpectomy during the last 4 years. These patients were followed up for a mean period of 25 months. Twenty one (80%) patients had a good outcome, 2 patients remained unchanged and 3 expired. Review of the literature and our experience indicates that patients with CSM and OPLL should be operated by median cervical corpectomy (anterior approach). 相似文献
97.
U. Irlenbusch 《Der Unfallchirurg》1997,100(8):675-677
Summary
Two patients with complete paralysis of the axillary nerve are reported on. One case is well documented. In both cases there
was very good functional adaptation, resulting from hypertrophy of the rotator cuff so that there was only a slight or no
loss of movement. The rotator cuff should therefore be exercised at an early stage when there is isolated axillary nerve damage.
The function of the supraspinous muscle is also discussed.
相似文献
98.
距骨的血液供应及其临床意义 总被引:30,自引:0,他引:30
本文观察了24侧尸体足标本,均无已知临床血管疾病。在死后36~48小时之间行动脉灌注ABS填充剂,以化学腐蚀和手工剔除的方法清除软组织。距骨的血供来自小腿下部三根主要动脉的分支,即跗骨管动脉和三角支、近端和远端跗骨窦动脉、颈上支及后结节血管丛。跗骨管动脉常发自足底内侧动脉,而三角支多单独自胫后动脉发出;跗骨管动脉通常比三角支和跗骨窦动脉都来得细小。以上的这些动脉相互吻合,形成了一个骨膜血管网,覆盖于全部的距骨非关节面上。而且,环绕着跗骨管、跗骨窦、距骨颈的上面和距骨体部的内侧面,由三角支、跗骨管动脉、跗骨窦动脉、颈上支及其相互之间的吻合血管网形成了一个不定形的距骨动脉环。本文还讨论了距骨缺血性坏死与动脉环的可能关系,距骨骨折脱位或手术后的缺血性坏死是由于距骨动脉环的毁损或功能受影响所致。三角支在距骨骨折脱位时具有重要意义,手术或手法复位时应注意保护。 相似文献
99.
100.
F. BRUNET J. P. MIRA C. CERF M. BELGHITH O. SOUBRANE J. L. TERMIGNON† B. RENAUD L. FIEROBE I. HAMY M. MONCHI E. DESLANDE A. BRUSSET† J. F. DHAINAUT 《Artificial organs》1994,18(11):826-832
Abstract: This open clinical study was aimed at testing the hypothesis that an intravascular oxygenator (IVOX) may help to perform permissive hypoventilation in 10 patients with severe ARDS. After initial evaluation, we tried to reduce ventilator settings before and after IVOX implantation. Before IVOX, poor clinical tolerance and worsening oxygenation did not allow for a significant decrease in ventilator settings. With IVOX, peak inspiratory pressure (PIP) was reduced from 47 to 39 cm H2 O (p = 0. 005) and minute ventilation from 13 ± 3. 5 to 11 ± 3 L/min. CO2 removal by IVOX allowed a significant decrease in Paco2 from 66 ± 15 to 59 ± 13 mm Hg. Improvement of oxygenation with IVOX was not signify cant. Furthermore, interruption of oxygen flow through IVOX did not change oxygenation variables. Tolerance of the IVOX device was good, but insertion of the device was followed by a significant decrease in both cardiac index and pulmonary wedge pressure. In conclusion, IVOX improves tolerance of hypoventilation by limiting hypercapnia in ARDS patients. These preliminary results must be confirmed by a randomized controlled study 相似文献