ABSTRACT
The experience with the treatment of 93 patients with knife injury to the heart and pericardium is summarized. The only proper therapeutical tactics in injury to the heart and pericardium is the emergency performance of operative intervention. The therapeutical value of pericardial punction is doubtful. Good results of treatment were achieved after the use of blood reinfusion. Fourteen (15.1%) patients died.
Subject(s)
Heart Injuries/surgery , Wounds, Stab/surgery , Adolescent , Adult , Aged , Blood Transfusion, Autologous , Emergencies , Female , Heart Injuries/diagnosis , Humans , Intraoperative Care , Male , Middle Aged , Pericardium/injuries , Wounds, Stab/diagnosisSubject(s)
Tietze's Syndrome/diagnosis , Adolescent , Adult , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Tietze's Syndrome/therapySubject(s)
Breast/pathology , Acute Disease , Adolescent , Adult , Female , Humans , Hypertrophy/etiology , Hypertrophy/surgery , Mastectomy/methods , Pregnancy , PubertySubject(s)
Blood Transfusion, Autologous , Hemothorax/surgery , Pleural Effusion/surgery , Thoracic Injuries/therapy , Adolescent , Adult , Aged , Child , Female , Humans , Isotonic Solutions , Male , Middle Aged , Sodium Chloride/administration & dosage , SuctionSubject(s)
Respiratory Distress Syndrome/etiology , Thoracic Injuries/complications , Adult , Aged , Humans , Middle AgedSubject(s)
Peptic Ulcer Hemorrhage/surgery , Adult , Aged , Female , Gastrectomy/methods , Hemostatic Techniques , Humans , Male , Middle Aged , Peptic Ulcer Hemorrhage/diagnosis , Vagotomy/methodsSubject(s)
Empyema/surgery , Adolescent , Adult , Aged , Drainage , Empyema/physiopathology , Female , Humans , Male , Middle Aged , Pneumonectomy , RespirationSubject(s)
Hernia, Ventral/surgery , Postoperative Complications/surgery , Adult , Female , Follow-Up Studies , Humans , Male , Middle Aged , Suture TechniquesABSTRACT
The authors have analyzed 25 observations of patients with the Mallory-Weiss syndrome which made up 3,04% of all the patients with gastroduodenal bleedings. The authors emphasize the role of the endoscopic method for examining the patients to diagnose this pathology. The most rational method is believed to be the conservative treatment. When it fails the surgery should be organ-preserving. Twenty four patients were treated conservatively, one patient was subjected to gastrotomy and suturing of the mucosa fissure. All the patients recovered.
Subject(s)
Gastrointestinal Hemorrhage/therapy , Mallory-Weiss Syndrome/therapy , Adult , Aged , Drug Therapy, Combination , Female , Fiber Optic Technology , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/etiology , Gastroscopy , Humans , Male , Mallory-Weiss Syndrome/diagnosis , Mallory-Weiss Syndrome/etiology , Middle AgedABSTRACT
One hundred and two patients were operated for peptic ulcers complicated with hemorrhage. The operations were organ-preserving. The postoperative lethality was 5,8%. The conclusion is made that parasympathetic denervation of the stomach with suturing the bleeding vessel in the ulcer or a removal of the pathological focus is a pathogenetically substantiated method of treatment of peptic ulcers complicated with hemorrhage.
