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Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress最新文献

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[Percutaneous endoscopic tracheostomy]. 经皮内窥镜气管造口术。
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01
A Paul, D Marelli, K H Vestweber, D S Mulder
{"title":"[Percutaneous endoscopic tracheostomy].","authors":"A Paul,&nbsp;D Marelli,&nbsp;K H Vestweber,&nbsp;D S Mulder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Between 6/88 and 8/89 61 critically ill patients (sepsis, ARDS, pneumonia, multiple trauma, etc.) underwent elective percutaneous endoscopic tracheostomy (PET). Following dilation up to 36 Fr. a number 6-10 tracheostomy tube was introduced. The patients were ventilated 17 (2-68 days) before and 28 (4-160) days after PET. One patient died from cardiac arrest, and in 4 patients, because of tube obstruction or cuff defect, reintubation was necessary. Additionally 2 significant infections and a minor bleeding and a emphysema occurred. Elective percutaneous tracheostomy performed in the ICU seems to be a simple and cost-effective procedure.</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"1333-7"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13141742","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
[Therapeutic concept in asymptomatic carotid stenosis: surgical indications from the neurologic viewpoint in comparison with spontaneous course]. 【无症状颈动脉狭窄的治疗理念:从神经学角度看手术指征与自然病程的比较】。
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01
P Marx
{"title":"[Therapeutic concept in asymptomatic carotid stenosis: surgical indications from the neurologic viewpoint in comparison with spontaneous course].","authors":"P Marx","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The annual risk of stroke from asymptomatic carotid stenosis is about 0.5-2.5%. After successful carotid endarterectomy (CEA) the risk of suffering a stroke amounts to about 2% per year. CEA therefore seems to impose an unnecessary risk upon the patient. However, a stenosis with more than 80% luminal narrowing, a rapidly progressing stenosis, and ulcers may increase the spontaneous risk and should be evaluated in randomized studies. The same applies to prophylactic CEA of asymptomatic stenosis before major cardiac or vascular surgery.</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"537-42"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13141883","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
[Importance of thoracic trauma in the multi-traumatized child]. [胸部创伤在多重创伤儿童中的重要性]。
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01
S Hofmann-von Kap-herr, J Scholl
{"title":"[Importance of thoracic trauma in the multi-traumatized child].","authors":"S Hofmann-von Kap-herr,&nbsp;J Scholl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rate of thoracic trauma in multitraumatized children was assessed on the basis of two series of investigations: thoracic injuries increased from 8% to 34%. Severe injury to the thorax is seen in spite of a decrease in multitraumata. Thoracic trauma is a central lesion with only occasional involvement of the peripheral extremities. To assess such injuries it is essential to pay attention to factors like age-related blood volume, specific fluid metabolism, different periods of thoracic elasticity, and the relation of lung volume to the child's age.</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"871-4"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13141886","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
[Bronchial cancer--adjuvant chemotherapy]. [支气管癌-辅助化疗]。
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01
P Drings
{"title":"[Bronchial cancer--adjuvant chemotherapy].","authors":"P Drings","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lung cancer patients with poor late prognosis should receive adjuvant chemotherapy. Its application in non-small cell lung cancer (NSCLC) is only justified in clinical studies, since there is no evidence of its efficacy. In small cell lung cancer (SCLC) chemotherapy is supplemented by local therapy regimens like radiotherapy and/or surgery. At present clinical studies are examining whether chemotherapy should be applied before or after surgical treatment.</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"89-94"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13141889","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
[Perioperative prevention of thromboembolism with low molecular weight heparin and postoperative bleeding complications]. [低分子肝素预防围手术期血栓栓塞及术后出血并发症]。
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01
R Hoffman, F Largiadèr, H P Brütsch
{"title":"[Perioperative prevention of thromboembolism with low molecular weight heparin and postoperative bleeding complications].","authors":"R Hoffman,&nbsp;F Largiadèr,&nbsp;H P Brütsch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In three studies the effect and secondary effect of low molecular weight heparin (LMWH) were examined. Study 1: LMWH (Embolex-LM, n = 464) versus standard heparin (Liquemin, n = 452); Study 2: LMWH (Sandoparin, n = 298) versus standard heparin (n = 296). In the 3rd study controls of LMWH were performed in the clinic of visceral surgery, and the clinic of traumatology both. During these three studies all excluded patients who did not receive a thromboembolic prophylaxis were also examined. The first two studies showed no significant differences in the frequency of thromboembolic and bleeding complications. The bleeding complication was the same (3-6%) in the group of excluded patients. This is valid for study 3 too. In all studies the surgeon had an important influence on the frequency of bleeding complications.</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"1179-84"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13142722","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
[Postcholecystectomy syndrome--still a current argument today?]. [胆囊切除术后综合症——今天仍然是一个热门话题?]。
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01
V Schumpelick, S Truong, J Fass, R Bares, H Geller
{"title":"[Postcholecystectomy syndrome--still a current argument today?].","authors":"V Schumpelick,&nbsp;S Truong,&nbsp;J Fass,&nbsp;R Bares,&nbsp;H Geller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The \"postcholecystectomy syndrome\" was originally defined by Pribram as a pure functional disturbance after cholecystectomy. Today it has become a melting pot of various postoperative syndromes of mostly obscure origin. It's incidence is said to be 26-40%, but surgically treatable lesions of the biliary system amount only 1.5%. Functional consequences for biliary excretion are rare because the loss of the gallbladder reservoir is substituted in part by the biliary tree.</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"1205-9"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13142727","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
[Management of ruptured aortic aneurysms in routine service of a surgical department]. [外科常规服务中动脉瘤破裂的处理]。
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01
A Valesky, E Thies
{"title":"[Management of ruptured aortic aneurysms in routine service of a surgical department].","authors":"A Valesky,&nbsp;E Thies","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the year 1989 859 patients with infrarenal aortic aneurysms were treated in the Hessen county (5.6 mill inhabitants) (private survey). 64% of the ruptured aneurysms were operated in 24 departments for general surgery and 36% were operated in the 7 departments for vascular surgery. Corresponding numbers for elective operations are 55% respectively 45%. The results after resection of the aneurysms in our 22 patients with ruptured aneurysms (1986-1989) reveal a letality of 50%. No patient arriving at our clinic alive was excluded from operation. Letality in electively operated patients (n = 131) during the same period was 2.3% (n = 3).</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"453-5"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13142736","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 the role of ethics commissions for clinical research?]. 伦理委员会在临床研究中的作用是什么?
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01
H Jahrmärker
{"title":"[What is the role of ethics commissions for clinical research?].","authors":"H Jahrmärker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Professional and drug development laws require that each project involving human research is submitted to a specially appointed independent committee (Ethics Committee) to ensure conformity with the ethical principles of the medical profession (Declaration of Helsinki). Today the public demands this prerequisite for clinical research. The main goal is to protect the patient or proband from unjustified risks. The interest of the subject must always prevail over the interests of science and society.</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"1251-7"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13140536","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
[Perioperative risk caused by alcohol and/or drug abuse. Which therapy?]. [酒精和/或药物滥用引起的围手术期风险。治疗?]。
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01
R Purschke
{"title":"[Perioperative risk caused by alcohol and/or drug abuse. Which therapy?].","authors":"R Purschke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Alcohol and drug addicts usually suffer from polymorbidity. Withdrawal syndromes additionally endanger the success of surgical therapy. In opiate addicts withdrawal syndromes can and should be avoided by substitution of the drug or an analogon. In alcohol dependent patients the prophylaxis of withdrawal syndromes by i.v.-infusion of alcohol is not reliable. Therefore preference is given to the symptomatic therapy with combination of Benzodiazepin and Clonidin.</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"1133-6"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13140712","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
[Coincidence of hyperparathyroidism and thyroid gland cancer]. [甲状旁腺功能亢进与甲状腺癌的重合]。
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01
U Krause, G Benker, C Reiners, T Rudy
{"title":"[Coincidence of hyperparathyroidism and thyroid gland cancer].","authors":"U Krause,&nbsp;G Benker,&nbsp;C Reiners,&nbsp;T Rudy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>127 patients, operated for hyperparathyroidism in a 4-years period (1986-1989) were analyzed retrospectively, regarding concurrent thyroid disease. In 42 patients (33%) thyroid resection was performed simultaneously. Of these, in five cases (4%), thyroid malignancy was discovered: there was one follicular carcinoma, one multilocular papillary tumor and three well differentiated small papillary carcinomas (less than 1.5 cm diameter). This prevalence of thyroid tumors is comparable to the results of different authors (2.5-8.5% in the literature). We conclude that preoperative examination should include the thyroid gland before parathyreotoid exploration.</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"983-5"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13140738","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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