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La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris最新文献

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[Sarcoma of the bladder in adults]. [成人膀胱肉瘤]。
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Pub Date : 1984-03-08
G Benoit, L Boccon-Gibod, S Deslignières, A Steg
{"title":"[Sarcoma of the bladder in adults].","authors":"G Benoit,&nbsp;L Boccon-Gibod,&nbsp;S Deslignières,&nbsp;A Steg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report five cases of sarcoma of the bladder and make a distinction between homotypical and heterotypical sarcomas and lymphosarcomas presenting specific therapeutical problems. The prognosis is severe because of very frequent local relapse. They recommend disregard of the invasion of the muscular wall, and the performance of total cystectomy following a positive histological diagnosis. In their view, this is the basis for the treatment of sarcomas.</p>","PeriodicalId":18005,"journal":{"name":"La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris","volume":"60 11","pages":"755-7"},"PeriodicalIF":0.0,"publicationDate":"1984-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17384883","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
[Epithelioid sarcoma. Apropos of 3 cases]. (上皮样肉瘤。(3例)。
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Pub Date : 1984-03-08
J L Condamine, B Louis, D Richter, J L Roffe, J H Aubriot
{"title":"[Epithelioid sarcoma. Apropos of 3 cases].","authors":"J L Condamine,&nbsp;B Louis,&nbsp;D Richter,&nbsp;J L Roffe,&nbsp;J H Aubriot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors present two cases of epithelioid sarcoma of the hand and one of the foot with clinical interest. This recently described tumor (Enzinger, 1970), is relatively rare. It occurs in the hand, forearm, pretibial region and foot and affects principally young adults. It should be emphasized, and this is borne out in the literature, that this tumor may appear perfectly benign and often has a course of long duration. The difficulty of clinical and especially of histologic diagnosis as well as the difficulty of determining the boundaries of extension of the tumor make it necessary to carry out radical surgery (amputation or rarely block excision). Every author agrees that local excision is to be condemned, there being an 85% recurrence rate. Spread of the tumor is by way of the fascial planes and tendon sheaths. Lymphatic and pulmonary metastases occur particularly when there is vascular invasion.</p>","PeriodicalId":18005,"journal":{"name":"La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris","volume":"60 11","pages":"780-3"},"PeriodicalIF":0.0,"publicationDate":"1984-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17384888","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
[Acute pancreatitis caused by isolated involvement of the pancreas after closed abdominal injury]. [闭合性腹部损伤后孤立受累胰腺引起的急性胰腺炎]。
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Pub Date : 1984-03-08
N Fadel, L Fortesa, N Taieb, G Bochereau, P Chauveau, D Kleinknecht
{"title":"[Acute pancreatitis caused by isolated involvement of the pancreas after closed abdominal injury].","authors":"N Fadel,&nbsp;L Fortesa,&nbsp;N Taieb,&nbsp;G Bochereau,&nbsp;P Chauveau,&nbsp;D Kleinknecht","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute post-traumatic pancreatitis in unusual, accounting for no more than 1% of all cases of acute pancreatitis. The authors describe a case of acute pancreatitis in a patient who had a closed abdominal trauma during a football match. The recommended procedures for ensuring early diagnoses are described. Prognosis and management is dependent upon pathology and extension of lesions. Hemorrhagic and necrotic pancreatitis carries a poor prognosis, especially when diagnosis is delayed.</p>","PeriodicalId":18005,"journal":{"name":"La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris","volume":"60 11","pages":"795-7"},"PeriodicalIF":0.0,"publicationDate":"1984-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17385456","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
[Diffuse hepato-pulmonary hydatidosis. Apropos of a case]. 弥漫性肝肺包虫病。关于一个案例]。
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Pub Date : 1984-03-08
A Bisson, M Abbas, A Colchen, M Leroy, C Personne, L Toty
{"title":"[Diffuse hepato-pulmonary hydatidosis. Apropos of a case].","authors":"A Bisson,&nbsp;M Abbas,&nbsp;A Colchen,&nbsp;M Leroy,&nbsp;C Personne,&nbsp;L Toty","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report a case of diffuse hydatid disease of the lung and liver. This association accounts for about 20 per cent of cases. Diffuse lesions are, on the other hand, exceptional. In this case the lung and liver functions were both impaired. Surgical management involved resection of the top of the cyst protruding from the liver and pulmonary cystectomy. The relative simplicity of the postoperative course, restoration of liver function and improvement in lung function prompt the authors to recommend surgical management of these cases, which cannot be treated medically.</p>","PeriodicalId":18005,"journal":{"name":"La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris","volume":"60 11","pages":"798-800"},"PeriodicalIF":0.0,"publicationDate":"1984-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17385457","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
[Compression of the cervical spinal cord in achondroplasia]. 软骨发育不全患者颈脊髓受压。
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Pub Date : 1984-03-08
M Blondeau, D Brunet, J M Blanche, C Debauchez, M Etienne
{"title":"[Compression of the cervical spinal cord in achondroplasia].","authors":"M Blondeau,&nbsp;D Brunet,&nbsp;J M Blanche,&nbsp;C Debauchez,&nbsp;M Etienne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two cases of tetraparesis due to cervico-occipital spinal cord compression in infants with achondroplasia are reported. Neurological disorders in achondroplasia are produced by structural anomalies of the cranium and spinal canal. They can be divided into two categories: hydrocephalus and radicular and spinal cord compression syndromes. Cervico-occipital compression is more frequent in childhood and may occur very early, in the first months of life. Early diagnosis of this complication and anatomic evaluation can now be obtained by computed tomography, which shows the exact dimensions of the foramen magnum, and myelography. Achondroplasia requires very close neurologic monitoring and, when findings are abnormal, radiologic investigations of the cervico-occipital zone. This allows for early surgical management which is the only means of obtaining significant therapeutic results.</p>","PeriodicalId":18005,"journal":{"name":"La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris","volume":"60 11","pages":"771-5"},"PeriodicalIF":0.0,"publicationDate":"1984-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17384886","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
[Value of co-immunoelectrodiffusion on cellulose acetate for the demonstration of remarkable precipitating systems in the diagnosis of farmer's lung]. [醋酸纤维素共免疫电扩散法在农民肺诊断中显示显著沉淀系统的价值]。
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Pub Date : 1984-03-08
M Gari, P Recco, J M Pinon, J P Séguéla
{"title":"[Value of co-immunoelectrodiffusion on cellulose acetate for the demonstration of remarkable precipitating systems in the diagnosis of farmer's lung].","authors":"M Gari,&nbsp;P Recco,&nbsp;J M Pinon,&nbsp;J P Séguéla","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Farmer's Lung is an extrinsic allergic alveolitis due to the inhalation of actinomycetes thermophiles. Micropolyspora faeni is the principal allergen implicated in this disease which is very difficult to diagnose. The authors discuss the value of immuno-electro-diffusion on cellulose acetate which is a rapid and sensitive technique for the demonstration of remarkable precipitating systems: polysaccharide and chymotrypsin arcs. This investigation enables subjects who really have the disease to be distinguished from \"contact\" subjects.</p>","PeriodicalId":18005,"journal":{"name":"La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris","volume":"60 11","pages":"776-9"},"PeriodicalIF":0.0,"publicationDate":"1984-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17384887","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
[Factor X deficiency and systemic amylosis]. [因子X缺乏与全身性淀粉样变性]。
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Pub Date : 1984-03-08
F J Pedinielli, B Mascret, A P Blanc, N Sudan, I Juhan-Vague, Y Carcassonne
{"title":"[Factor X deficiency and systemic amylosis].","authors":"F J Pedinielli,&nbsp;B Mascret,&nbsp;A P Blanc,&nbsp;N Sudan,&nbsp;I Juhan-Vague,&nbsp;Y Carcassonne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The case of a 52-year-old patient with systemic amylosis diagnosed upon examination of an osteomedullary biopsy specimen is reported. The most prominent clinical manifestation was a major hemorrhagic syndrome which was recognized as being a result of severe factor Stuart deficiency. The new classification of amyloses based on the latest biochemical and immunological findings is recalled. Current physiopathogenic speculations put emphasis on plasmocyte-macrophage cooperation. Lastly, factor Stuart deficiency, which is as classical as it is uncommon, could originate in the particular affinity of amyloid fibers for this factor and in a \"mass effect\" (quantity of amyloid substance directly exposed to blood flow), explaining why splenectomy is effective in some instances.</p>","PeriodicalId":18005,"journal":{"name":"La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris","volume":"60 11","pages":"792-4"},"PeriodicalIF":0.0,"publicationDate":"1984-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17384891","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
[Radiology of spontaneous pneumothorax in young patients. Apropos of 200 cases]. 青年自发性气胸的放射学分析。约200箱]。
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Pub Date : 1984-03-08
M Vincent, P Celard, F Pinet, R Loire, J Brune, P Galy
{"title":"[Radiology of spontaneous pneumothorax in young patients. Apropos of 200 cases].","authors":"M Vincent,&nbsp;P Celard,&nbsp;F Pinet,&nbsp;R Loire,&nbsp;J Brune,&nbsp;P Galy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 200 young patients with apparently idiopathic spontaneous pneumothorax, the following radiologic features were analyzed: degree of collapse on the initial chest film, areas of atelectasis, and presence of blebs, apical opacities, fibrous adhesions, pleural effusions, and controlateral shift of mediastinal structures. Confrontation of apical changes with pathologic findings in operative specimens suggests that mesothelial rupture with reactive hyperplasia results in a \"pneumatization chamber\" visible as a bullous image. Following drainage, homolateral shifts of mediastinum and four cases of pulmonary edema were recorded. Risk factors for pulmonary edema include severe pulmonary collapse with areas of atelectasis, persisting for more than 48 hours and an aspiration which either exceeded 1.5 l. of air or was performed with a depression of more than 30 cm of water.</p>","PeriodicalId":18005,"journal":{"name":"La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris","volume":"60 11","pages":"759-65"},"PeriodicalIF":0.0,"publicationDate":"1984-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17384884","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
[Pleuropulmonary fibrosis and bromocriptine]. [胸膜肺纤维化与溴隐亭]。
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Pub Date : 1984-03-08
J Vergeret, M Barat, A Taytard, P Bellvert, P Domblides, J J Douvier, P Fréour
{"title":"[Pleuropulmonary fibrosis and bromocriptine].","authors":"J Vergeret,&nbsp;M Barat,&nbsp;A Taytard,&nbsp;P Bellvert,&nbsp;P Domblides,&nbsp;J J Douvier,&nbsp;P Fréour","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From a personal case and a review of the literature, it is recalled that bromocriptine may induce pleuropulmonary fibrosis. The various presentations of this condition are described. The index patient is a 56-year-old man, with Parkinson disease and a negative history for respiratory disease, who was taking bromocriptine in a high dose (60 mg/d). Under this treatment, he exhibited weight loss and an inflammatory syndrome and developed interstitial pneumopathy with secondary pleuropulmonary fibrosis, which resolved in part once therapy was discontinued. Bromocriptine, which is an ergot alcaloid with dopaminergic properties, has been used since 1965 in therapy. Its indications, which at the outset were restricted to endocrinology, were extended in 1972 to Parkinson disease, with a significant increase in dosages from 1979. Its responsibility in pleuropulmonary fibroses was suspected in 1981 by Rinne on data from 5 patients. As of now, 8 cases have been reported. All are Parkinson patients who, after a variable time interval (15 days to 3 years), developed a uniform picture of pleuropulmonary disease with rapidly increasing dyspnea upon exertion and deterioration of general health. These features mirror inflammation then fibrosis of the pleura and lung tissue, which results in a variable degree of chronic restrictive respiratory failure. The course is equally uniform, with partial resolution under corticosteroid therapy and more or less significant residual fibrosis at discontinuation of treatment. Immunoallergic rather than toxic or vasomotor mechanisms seem involved.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":18005,"journal":{"name":"La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris","volume":"60 11","pages":"741-4"},"PeriodicalIF":0.0,"publicationDate":"1984-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17385628","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
[Beta 2 microglobulin in diabetic patients. Apropos of 190 subjects]. 糖尿病患者β 2微球蛋白。约190名受试者]。
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Pub Date : 1984-03-08
J Dauzat, S Moinade, G Gaillard
{"title":"[Beta 2 microglobulin in diabetic patients. Apropos of 190 subjects].","authors":"J Dauzat,&nbsp;S Moinade,&nbsp;G Gaillard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Beta-2 microglobulin (beta 2 M) is a low molecular weight protein filtered by the renal glomerulus, then reabsorbed and metabolized at the proximal tubule. Its blood concentration is a good renal index, as it is independent from muscle mass and diet contrary to creatinine. We assayed serum beta 2 M in 190 cases of diabetes mellitus divided into 71 non-insulin-dependent and 119 insulin-dependent forms. We found no significant difference between both groups. Serum beta 2 M was not correlated with Hb A 1 C. Conversely, a highly significant positive correlation between beta 2 M and serum creatinine and a negative correlation between beta 2 M and creatinine clearance were demonstrated. Furthermore, patients with borderline serum creatinine and those with normal renal function show very significant differences in mean serum beta 2 M concentrations, thus making combined assay of both parameters advisable. On the other hand, we were unable to evaluate modifications in beta 2 M according to other complications of diabetes mellitus as vascular and neurologic involvement are very often associated with renal dysfunction.</p>","PeriodicalId":18005,"journal":{"name":"La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris","volume":"60 11","pages":"745-8"},"PeriodicalIF":0.0,"publicationDate":"1984-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17385629","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
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