Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete最新文献_第8页

[Gestosis, thrombophilia and pulmonary embolism in a primipara with twin pregnancy]. [初产妇双胎妊娠的妊娠、血栓形成和肺栓塞]。

Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-04-01

L Engelmann, K E Ruckhäberle, B Engelmann, H Scheel, C Vogtmann, F Deckert

{"title":"[Gestosis, thrombophilia and pulmonary embolism in a primipara with twin pregnancy].","authors":"L Engelmann, K E Ruckhäberle, B Engelmann, H Scheel, C Vogtmann, F Deckert","doi":"","DOIUrl":"","url":null,"abstract":"This is a case report on a course of gemini-pregnancy complicated by gestosis, recurrent submassive pulmonary embolism and discordant growth of the hypotrophic twins. It is concluded from this report that: 1. the AT-III-deficiency in gestosis can be caused by loss and consumption; 2. due to decrease below a critical AT-III-level the coagulation-fibrinolysis system tends to decompensate, reflected in a disseminated intravascular coagulation and/or a pulmonary embolism. The tendency consists particularly in immobilisation and stasis; 3. the daily determination of AT III, better of TAT-complex and D-dimer, the daily clinical examination regarding signs of thrombosis and in cases of heparinization the measurement of PTT several times daily, are necessary to avoid or recognise disorders, of the coagulation-fibrinolysis-system at an early stage. 4. The increased consumption in coagulation systems can be avoided by AT-III substitution and correct heparinisation. 5. In cases of risk of pulmonary embolisation in pregnancy a cava filter should be temporarily implanted. The filter must be changed every 3 days, if it is required for a longer period. 6. In high-risk pregnancy the check for factors of thrombophilia is a basic diagnostic procedure.","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 4","pages":"190-6"},"PeriodicalIF":0.0,"publicationDate":"1993-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19471790","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

[Sense and possibilities of prevention in advanced age: psychosocial aspects]. [老年预防的意义和可能性:心理社会方面]。

Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete Pub Date : 1993-04-01

U Lehr

{"title":"[Sense and possibilities of prevention in advanced age: psychosocial aspects].","authors":"U Lehr","doi":"","DOIUrl":"","url":null,"abstract":"Cardiovascular diseases have multifactorial causes, as has been shown, and as has been demonstrated via an interactional model. These multifactorial causes must be counteracted by means of multidimensional preventive or rehabilitation measures. Intervention in cardiovascular patients requires interdisciplinary cooperation. Studies conducted so far on rehabilitation of cardiovascular patients have rarely included persons over 60 years of age. This may be explained in part by a poor image of elderly people that exists in the minds of many, discouraging intervention as hardly promising and hence useless. However, persons of an advanced age in particular stand greatly in need of being factually informed at an early date by the physician; such information has a significant influence on the way they can experience and cope with the disease. They must be placed in a position to realise the existing possibilities and limitations to influence their status by means of their attitude, and to look to the future. Successful (secondary) preventive care of elderly persons must also include physical training (kinesitherapy) and psychological aspects when changing dietary habits. On the whole, we are still in need of more research on the problem of possible interventions in cardiovascular patients in general and aged patients in particular. The results of psychological fundamental research in gerontology and intervention supply only few pointers to combatting cardiovascular disease in the elderly. It is however emphasised that psychological measures can merely supplement the medical ones, such supplementation having become so important by now that one should practically not do without it any longer.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":23901,"journal":{"name":"Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete","volume":"48 4","pages":"177-82"},"PeriodicalIF":0.0,"publicationDate":"1993-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19471788","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

[Differential therapy with oral antidiabetic drugs]. [口服降糖药的鉴别治疗]。