Cleveland Clinic quarterly最新文献_第8页

A simplified computer program for the performance of physiological calculations from cardiac catheterization data. 从心导管数据进行生理计算的简化计算机程序。

Cleveland Clinic quarterly Pub Date : 1985-01-01 DOI: 10.3949/ccjm.52.1.47

D C Schaber, F C Carangio

引用次数: 0

Alcoholism in the families of bulimic anorexics. 暴食性厌食症患者家庭中的酗酒问题。

Cleveland Clinic quarterly Pub Date : 1985-01-01 DOI: 10.3949/ccjm.52.1.65

G B Collins, M Kotz, J W Janesz, M Messina, T Ferguson

引用次数: 16

Psychological aspects of home care for the patient with end-stage renal disease. 终末期肾病患者家庭护理的心理方面。

Cleveland Clinic quarterly Pub Date : 1985-01-01 DOI: 10.3949/ccjm.52.3.299

L Gonsalves-Ebrahim

引用次数: 4

Mechanical ventilation in the home. The role of the psychiatrist. 家用机械通风。精神科医生的角色。

Cleveland Clinic quarterly Pub Date : 1985-01-01 DOI: 10.3949/ccjm.52.3.313

W T Gipson

引用次数: 1

Home intravenous antibiotic therapy. 家庭静脉注射抗生素治疗。

Cleveland Clinic quarterly Pub Date : 1985-01-01 DOI: 10.3949/ccjm.52.3.333

S J Rehm

引用次数: 10

Total repair of tetralogy of Fallot in the adult. The Cleveland Clinic experience 1951-1981. 成人法洛四联症的完全修复。克利夫兰诊所1951-1981年的经历。

Cleveland Clinic quarterly Pub Date : 1985-01-01 DOI: 10.3949/ccjm.52.3.375

M S Kreindel, D S Moodie, R Sterba, C C Gill

引用次数: 2

Symposium on new technology in pulmonary disease. 肺病新技术研讨会。

Cleveland Clinic quarterly Pub Date : 1985-01-01

引用次数: 0

The importance of verifying the diagnosis of acute venous thrombosis. 验证急性静脉血栓诊断的重要性。

Cleveland Clinic quarterly Pub Date : 1985-01-01 DOI: 10.3949/ccjm.52.4.553

D E Strandness

{"title":"The importance of verifying the diagnosis of acute venous thrombosis.","authors":"D E Strandness","doi":"10.3949/ccjm.52.4.553","DOIUrl":"https://doi.org/10.3949/ccjm.52.4.553","url":null,"abstract":"The patient suspected of having acute venous thrombosis faces an uncertain fate in our health care system today. In fact, Dr. Jack Hirsh, a prominent expert in the field, has stated that the medical community in this country has created generations of \"thrombo-neurotics,\" referring to those patients told they have the disease although the diagnosis was never verified by some objective test. For every 100 patients suspected of having venous thrombosis, approximately one half will have something else.1 Such errors in labeling present serious problems. Conventional therapy requires hospitalization and seven to 10 days of heparin treatment followed by three to six months of oral anticoagulation. The patient is not only liable for the costs of hospitalization, but is exposed to the risks of treatment. In addition to changing his or her lifestyle, the patient is also a high risk for another thrombotic event when a major medical or surgical illness develops. Treatment may range from the prescription of antiembolism stockings to the use of drugs designed to prevent the development of recurrent deep venous thrombosis. On the other hand, the patient who has venous thrombosis, but is not believed to have it based on clinical grounds, is always at risk for the development of serious and occasionally fatal pulmonary embolism. Patients with venous thrombi will be fortunate to escape a major thromboembolic event when untreated.2 In addition, propagation of thrombi, even without the development of pulmonary embolism, is likely to result in the post-thrombotic syndrome with all of its known complications.3 The solution to these problems is simple. All patients suspected of having deep venous thrombosis must have the diagnosis either confirmed or ruled out by a suitable objective test. This requirement has been widely known and disseminated to the medical community for at least the past 15 years. Physicians should not rely on the inaccurate evaluation carried out at the bedside. But many have ignored this message. In February 1984, the National Institutes of Health sponsored a gathering of experts to review the methods currently available to establish the diagnosis of venous thrombosis and consider the lack of their implementation. It was discouraging to learn that the educational efforts and writings on the subject had not made the desired impact. One might require that every patient suspected of having venous thrombosis should undergo contrast phlebography. This would document the status of the deep venous system, but subject every patient to the discomfort and risks of the procedure. It has been estimated that a chemical phlebitis which will require treatment with heparin will develop in 2% of patients undergoing phlebography. This outcome is especially unpleasant when the patient did not have the disease in the first place. Consequently, alternate approaches have been suggested. The paper by McCandless et al4 in this issue of the CLEVELAND CLINIC QUARTERLY des","PeriodicalId":10169,"journal":{"name":"Cleveland Clinic quarterly","volume":"52 4","pages":"553-4"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14949427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Extracorporeal renal surgery and autotransplantation for complicated stone disease. 肾脏体外手术及自体移植治疗复杂结石。

Cleveland Clinic quarterly Pub Date : 1985-01-01 DOI: 10.3949/ccjm.52.1.21

A C Novick

引用次数: 0

Primary hyperoxaluria. A frequently unappreciated cause of chronic renal failure. 主要hyperoxaluria。常被忽视的慢性肾衰竭的原因。

Cleveland Clinic quarterly Pub Date : 1985-01-01 DOI: 10.3949/ccjm.52.1.27

D R Steinmuller

引用次数: 0