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Annales chirurgiae et gynaecologiae Fenniae最新文献

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Bicycle and moped spoke injuries in children. Analysis of 103 consecutive cases. 自行车和轻便摩托车对儿童造成伤害。103例连续病例分析。
Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01
J Viljanto
{"title":"Bicycle and moped spoke injuries in children. Analysis of 103 consecutive cases.","authors":"J Viljanto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The series consists of 60 boys and 43 girls, aged from 1 to 14 years, mean 4.95 years, whose right (42) or left (61) foot was caught between the bicycle (97) or moped (6) spokes. The skin was involved with ankle sprain, with fracture or without other injuries in 97 children; lateral aspect of the ankle and foot in 65 and heel in 21 patients. The X-rays revealed 10 tibial fractures, 4 fractures of the tibia and fibula, one fracture of the medial malleolus, one of the lateral malleolus and one bimalleolar fracture. Hence an X-ray of the leg should always be taken. Twenty-six patients were treated on the ward, 77 as outpatients. The mean total time of healing in the group as a whole was 25 days and 44 days in patients having a fracture. Heel avulsion injuries caused by the spokes need special attention. The vitality of the crushed and dirty, caudally or medially based skin flap is minimal and very often yields a marginal or total necrosis if primary suture is done.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 2","pages":"100-7"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11452102","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
Clonidine in the treatment of menopausal symptoms. 可乐定在治疗更年期症状中的作用。
Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01
O Ylikorkala
{"title":"Clonidine in the treatment of menopausal symptoms.","authors":"O Ylikorkala","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twenty-five women suffering from climacteric complaints after surgical castration were treated with clonidine in a placebo controlled trial. Clonidine in the dose of 75 to 150 mug daily diminished the attack rates of flushing and sweating significantly. It can be recommended as a safe therapy for climacteric patients, at least those with contra-indications to oestrogen therapy.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 4","pages":"242-5"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12282535","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
Dermoid cyst of the gallbladder. 胆囊的皮样囊肿。
Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01
D Falcâo, A T Leal
{"title":"Dermoid cyst of the gallbladder.","authors":"D Falcâo,&nbsp;A T Leal","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 4","pages":"236-8"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12367415","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
First trimester abortion by vacuum aspiration. 早期妊娠期真空抽吸流产。
Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01
E Borko, R Breznik, Z Kokos, D Edelman, W Brenner
{"title":"First trimester abortion by vacuum aspiration.","authors":"E Borko,&nbsp;R Breznik,&nbsp;Z Kokos,&nbsp;D Edelman,&nbsp;W Brenner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To compare the efficacy and complications of using the 8 mm diameter metal and flexible plastic cannulae for performing abortions of pregnancies of 7--10 menstrual weeks' gestation by vacuum aspiration, a comparative study was conducted. Both types of cannulae were randomly assigned to 300 subjects in a study design where the physician who performed the abortion was not the same person who evaluated the subject after the abortion or at the time of the follow-up visit. All abortions were performed under paracervical block anesthetic after mechanical dilatation of the cervix to 8.6 mm. The rates of specific complications, blood loss and the need for secondary procedures to complete the abortion were not significantly different for the two types of cannulae. The amount of tissue obtained with a routine curette check following the vacuum aspiration, and the incidence of cannula obstruction were similar for the two types of cannulae.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 5","pages":"320-5"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12387521","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
Fetal prognosis in obstetric hepatosis. 产科肝炎的胎儿预后。
Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01
T Laatikainen, E Ikonen
{"title":"Fetal prognosis in obstetric hepatosis.","authors":"T Laatikainen,&nbsp;E Ikonen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>116 women with obstetric hepatosis gave birth in the years 1971-1972 at the First and Second Departments of Obstetrics and Gynaecology, University Central Hospital, Helsinki. This accounts for a 1.1% incidence of all deliveries at this hospital. During most of these pregnancies fetal well-being was monitored by amnioscopy, by the oxytocin challenge test, by maternal urinary oestriol determinations and by estimating the fetal biparietal diameter weekly. In 38% of these pregnancies, signs of fetal distress were found, mainly an abnormal heart rate, or heart rate pattern, and/or meconium-stained amniotic fluid. These led to increased frequencies of induction of labour and of Caesarean sections performed because of asphyxia or imminent asphyxia as compared with a control group with similar age and parity distribution. There was an increase in the occurrence of twin pregnancies in the hepatosis series (7.6%). There were 4 intrauterine and altogether 8 perinatal losses of 125 infants born to hepatosis mothers. These observations suppport the opinion that there are increased risks for the fetus in pregnancies complicated by obstetric hepatosis. Amnioscopy and fetal heart rate recording during the delivery and oxytocin challenge test were found to be valuable in monitoring the fetal condition. The use of oestriol determinations, at least by employing the method in general clinical practice, was found to be of limited value in the predictive assessment of fetal distress in hepatosis. This might be due to impurities disturbing the determinations or to changed oestrogen metabolism in cholestasis.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 3","pages":"155-64"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12394393","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
Disappearance of tracheobronchial fluid at birth in the lamb. 羔羊出生时气管支气管液消失。
Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01
L Hirvonen, R Peltonen, T Peltonen
{"title":"Disappearance of tracheobronchial fluid at birth in the lamb.","authors":"L Hirvonen,&nbsp;R Peltonen,&nbsp;T Peltonen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bronchography was performed in lambs before, during and after the first breath. Swallowing of the contrast medium containing tracheobronchial fluid was observed before the first breath. Intratracheal pressure changes ranging up to 20 mmHg were observed during respiratory movements which did not open the alveoli. The lamb did not start breathing as long as the snout was covered although there was a direct connection between the trachea and atmospheric air through a tracheostomy. When the snout was uncovered a lamb in good condition drew its first breath and the spreading of the contrast material into the peripheral parts of the lungs was almost explosive. The diameter of the tracheobronchial tree widened as a result of the initiation of respiration. It is suggested that both swallowing in the pharynx and absorption into the blood circulation below the larynx play an essential role in the disappearance of the tracheobronchial fluid. Intrauterine aspiration seems less probable in the light of these observations.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 3","pages":"170-5"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12394396","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
Changes of the neonatal head diameter during the first week of life. 新生儿头径在出生后第一周的变化。
Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01
T Valkeakari
{"title":"Changes of the neonatal head diameter during the first week of life.","authors":"T Valkeakari","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Significant but slight decreases in the biparietal and bitemporal diameter were observed during the first week of life with different ultrasonic methods. The lowest value was reached after two days. Between two and six days a small increase was observed in the biparietal diameter, corresponding well with the rate of growth reported for the foetal head during the last weeks of pregnancy. Reasons for these changes cannot be clarified on the basis of the present study.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 3","pages":"176-9"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12394399","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
Diagnostic value of biopsies in villous papilloma of the colon and rectum. 结直肠绒毛状乳头状瘤的活检诊断价值。
Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01
R J Takolander, S Nordling
{"title":"Diagnostic value of biopsies in villous papilloma of the colon and rectum.","authors":"R J Takolander,&nbsp;S Nordling","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The correlation between the histopathological diagnosis of biopsies from colorectal villous tumours and that of the excised tumour (in 16 cases of carcinoma only clinical diagnosis, autopsy or death certificate) was investigated. In the persent retrospective study 235 biopsies were taken from 134 tumours where the final diagnosis had been established. In the benign groups the grade of the biopsy was the same as that of the surgically excised tumour in about 50%. However, 25% of the biopsies with a benign diagnosis were in fact taken from carcinomas. Not even multiple biopsies exclude the presence of cancer in a villous papilloma. The tumour should be totally excised and histologically examined.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 6","pages":"327-31"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12394400","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
Severe liver injury. Surgical treatment of eight consecutive cases. 严重的肝损伤。手术治疗连续8例。
Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01
M I Kairaluoma, R Huttunen, R Mokka, T K Larmi
{"title":"Severe liver injury. Surgical treatment of eight consecutive cases.","authors":"M I Kairaluoma,&nbsp;R Huttunen,&nbsp;R Mokka,&nbsp;T K Larmi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A series of eight consecutive patients with severe liver injury is presented. Surgical treatment consisted of liver resection in four patients, one hepatic artery ligation and suture and drainage in three patients. Six patients survived. There were about three complications per patient, infection, and bile leakage being the most common. Of three patients who required hemodialysis for renal failure, only one survived. It is strongly recommended that an autotransfusion device should be ready to hand when a patient with severe liver injury is to be operated. In a case of massive bleeding from a lesion of the vena cava or major hepatic vein, autotransfusion could save the patient's life.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 6","pages":"340-6"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12394402","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
Classification of medial fractures of the femoral neck. 股骨颈内侧骨折的分类。
Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01
S Nieminen, K Satokari
{"title":"Classification of medial fractures of the femoral neck.","authors":"S Nieminen,&nbsp;K Satokari","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In order to regularize the classification of medial fractures of the femoral neck a retrospective analysis was made of fractures in adult patients treated in the University Hospital in Turku and also in the Municipal Hospital in the same city between 1964 and 1971. There were 446 cases of medial fracture of the femoral neck, 75 of which occurred in male patients and 368 in female patients. Medial fractures of the femoral neck were classified according to the scheme laid down by Garden (8) and Pauwels (18) and in addition, the situation of the level of the fracture in the femoral neck was determined according the method proposed by Brown and Abrami (3). No correlation could be found between either the division made by Garden and that made by Pauwels or between the situation of the level of the fracture in the femoral neck and the degree of primary dislocation in the fracture. Following Garden's classification, dislocated (stage 3 or stage 4) fractures were more common among women than men. Pauwels' figures showed that there were relatively more unstable fractures (groups 3--4) among men than among women. Among women patients the situation of the level of the fracture was, on the average, more medial than among men. The healing of fractures was evaluated according to the calssifications of Garden and Pauwels. That of Garden proved to be much more logical and from the point of view of prognosis of recovery, more reliable. The present authors recommend the classification made by Garden in cases of medial fracture of the femoral neck.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 6","pages":"369-74"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12394177","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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