ABSTRACT
In the suspected diagnosis "superior influx congestion" sonography performed with the 5 MHz linear scanner is suitable as a non-invasive method for the primary diagnosis of thrombotic occlusions of the vena subclavia and vena jugularis interna, and for follow-up monitoring under thrombolytic therapy. In successful lysis it is possible to verify a sonomorphological and Doppler sonographic sequence of stages from the freshly formed, stratified stage via the high-echo to the low-echo thrombus with formation of lacunae, as well as the recanalisation that is seen at first only at the margins and eventually becomes complete with a flow that varies with the respiration.
Subject(s)
Jugular Veins , Subclavian Vein , Superior Vena Cava Syndrome/therapy , Thrombosis/therapy , Tissue Plasminogen Activator/administration & dosage , Female , Humans , Jugular Veins/pathology , Male , Middle Aged , Phlebography , Postoperative Complications/therapy , Subclavian Vein/pathology , Urokinase-Type Plasminogen Activator/administration & dosage , Vena Cava, Superior/pathologyABSTRACT
From 1976 to March 1987 intraabdominal or retroperitoneal abscesses were confirmed by ultrasound in 40 patients. 13 patients had surgical drainage with zero-mortality. 3 of 27 patients were treated with antibiotics (only systemically). 24 patients were treated by percutaneous catheter drainage or needle aspiration. Elective cholecystectomy was performed later in 3 patients. Nonsurgical treatment was successful in 22/27 cases. 3 patients died despite percutaneous drainage. Failure of percutaneous drainage required surgical intervention in 3 patients. The considerably poorer primary condition of the patients receiving nonsurgical treatment allows no comparison with the surgical group. Advantages of percutaneous drainage and needle aspiration are a high success rate and low mortality. These techniques can be used even in critically ill persons.
Subject(s)
Abdomen , Abscess/therapy , Retroperitoneal Space , Abscess/drug therapy , Anti-Bacterial Agents/therapeutic use , Drainage , Humans , Kidney Diseases/therapy , Liver Abscess/therapy , Pancreatic Diseases/therapy , Peritoneal Diseases/therapy , Splenic Diseases/therapy , Subphrenic Abscess/therapy , SuctionABSTRACT
The hypereosinophilic syndrome is of a systemic nature. There are connections with collagenoses as well as with leukaemias. In a 25-year-old patient the disease was characterised by involvement of lungs, skin, muscle and the peripheral nervous system. An immune complex glomerulonephritis demonstrated by biopsy showed the definite immunological origin of the disease.
