Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis最新文献_第2页

[Mental suffering IN patients with parkinsonism]. 帕金森氏症患者的精神痛苦。

Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis Pub Date : 1994-09-27

C A Dessibourg, C Vaney

引用次数: 0

[Hepatopulmonary syndrome]. (Hepatopulmonary综合症)。

Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis Pub Date : 1994-09-20

E Lotterer

引用次数: 0

[Osteoporosis]. (骨质疏松症)。

Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis Pub Date : 1994-09-20

R Ziegler

{"title":"[Osteoporosis].","authors":"R Ziegler","doi":"","DOIUrl":"","url":null,"abstract":"Liver cirrhosis may be accompanied by osteoporosis and, rarely, osteomalacia. Normal liver function is required for normal digestion and absorption of calcium-containing nutrients. The liver plays an important role for the metabolisation of vitamin D: the 25-hydroxylation takes place in the liver. However, the respective enzymatic capacity is not limited by liver diseases except for almost complete liver insufficiency. Therefore, true hypovitaminosis D only rarely plays a role in hepatic osteopenia, but direct toxic effects on bone forming cells (osteoblasts) are discussed: e.g. by bile salts. Coexisting hypogonadism leads to further bone loss. Patients with primary biliary cirrhosis in part present with osteoporosis and fractures. Bone histology reveals normal resorption, but decreased formation. Calcitropic hormones are generally normal. Chronic alcoholism induces the same histologic picture in bone, i.e. normal resorption and diminished formation. These changes are reversible after abstinence and as long as of cirrhosis has not yet developed. Patients undergoing liver transplantation due to end stage liver insufficiency including cirrhosis present with diminished bone mass before receiving a new liver, and they show further bone loss after the transplantation due to immunosuppressive treatment including glucocorticoids. There is no specific treatment of bone loss or osteoporosis due to liver cirrhosis. Preventive efforts should be devoted to the avoidance of suboptimal calcium and vitamin D supply, immobilization, and hypogonadism. Fluorides may increase bone mass after liver transplantation--perhaps they are also useful in liver cirrhosis. Antiresorption agents like calcitonins or bisphosphonates may be cautiously tried.","PeriodicalId":21438,"journal":{"name":"Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis","volume":"83 38","pages":"1051-5"},"PeriodicalIF":0.0,"publicationDate":"1994-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18933669","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

[What is your diagnosis? Erosive arthrosis of the fingers and toes]. 你的诊断是什么?手指和脚趾的侵蚀性关节病]。

Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis Pub Date : 1994-09-20

D Van Linthoudt, G Iuvara, H Ott

引用次数: 0

[Ascites]. (腹水)。

Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis Pub Date : 1994-09-20

B A Volk

引用次数: 0

[Diagnosis and therapy of portosystemic encephalopathy]. 门系统性脑病的诊断与治疗。

Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis Pub Date : 1994-09-20

K Weissenborn

引用次数: 0

[Liver transplantation 1994]. [肝移植，1994]。

Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis Pub Date : 1994-09-20

W Lauchart, G Strohmeyer

引用次数: 0

[Erroneous tracks in the diagnosis of cutaneous and mucocutaneous leishmaniasis]. [皮肤和粘膜皮肤利什曼病诊断的错误轨迹]。

Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis Pub Date : 1994-09-13

J Blum, T Junghanss, C Hatz

{"title":"[Erroneous tracks in the diagnosis of cutaneous and mucocutaneous leishmaniasis].","authors":"J Blum, T Junghanss, C Hatz","doi":"","DOIUrl":"","url":null,"abstract":"Cutaneous leishmaniasis is an uncommon finding among patients seen in Central Europe. We report on three patients with cutaneous leishmaniasis who were initially misdiagnosed. Case 1, a woman who had returned from South America, was first thought to have an ulcer due to immunosuppression. Spread of the lesions to the nasal mucosa and a cosmetically disturbing scar were partly caused by delayed diagnosis and treatment. Case 2 shows a patient who has developed red papules on both legs after a trip to Spain. The lesions were misinterpreted as a residual reaction to insect bites. In case 3, a patient who had travelled in Nicaragua, the diagnosis of leishmaniasis was delayed because of coexisting acne vulgaris. In all three patients the final diagnosis of cutaneous leishmaniasis was confirmed by culture of the parasite. The only case with positive serology was the patient with mucocutaneous involvement. Two patients were radically cured, and one patient showed a substantial improvement of the lesions. The importance of a broad history including previous travel is emphasized to avoid the fallacies of missing a rare, but important disease among people travelling to countries with endemic leishmaniasis.","PeriodicalId":21438,"journal":{"name":"Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis","volume":"83 37","pages":"1025-9"},"PeriodicalIF":0.0,"publicationDate":"1994-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18935181","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

[Silicon blossoms]. (硅花)。

Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis Pub Date : 1994-09-13

N J Lüscher, R de Roche

引用次数: 0

[Evaluation of the QBC-Autoread System in hematological screening in a hospital laboratory]. [QBC-Autoread系统在医院实验室血液学筛查中的评价]。

Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis Pub Date : 1994-09-13

M Brabetz, R A Streuli

{"title":"[Evaluation of the QBC-Autoread System in hematological screening in a hospital laboratory].","authors":"M Brabetz, R A Streuli","doi":"","DOIUrl":"","url":null,"abstract":"The QBC Autoread System is based on fully automatic, electro-optical linear measurements of the discrete layers of packed blood cells in a microhematocrite tube. The layering results from differing cell densities during high-speed centrifugation. The determination of hemoglobin, hematocrit, leucocytes, platelets and of the percentual share of granulocytes and lymphocytes/monocytes with the QBC Autoread System was evaluated concerning reliability and precision in comparison with the conventional analytical methods. We used a Coulter Counter System and the manual differentiation of the stained blood smears as reference methods. The evaluation of the first 400 blood samples showed a close correlation for all hematological parameters examined, but no significant deviation relative to the reference methods. Only 83 of totally 1000 (8.3%) examined venous blood samples could not be evaluated completely by the QBC Autoread System. For the analysis of very pathological cell populations, especially of hematological oncological diseases, the QBC System is not qualified. The extreme portability, the quick practicability and the good accordance with the conventional analytical methods make the QBC Autoread System a qualified screening method for practice and emergency laboratories.","PeriodicalId":21438,"journal":{"name":"Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis","volume":"83 37","pages":"1034-8"},"PeriodicalIF":0.0,"publicationDate":"1994-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18933665","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