Subject(s)
Documentation , Physical Examination , Preventive Medicine , Adult , Aged , Female , Humans , Male , Middle Aged , SwitzerlandSubject(s)
Obesity/complications , Smoking/complications , Adult , Arteriosclerosis/etiology , Bronchitis/etiology , Coronary Disease/etiology , Female , Humans , MaleABSTRACT
A rare case of desquamating interstitial pneumonia, in a 15-year-old boy, is reported. Symptoms consisted of dry cough, progressive dyspnoea and chest pain. The chest X-ray revealed bilateral basal opacities. There were hypoxaemia and restrictive ventilatory changes. Bacteriological, virological and serological tests were all negative. An open lung biopsy established the diagnosis and corticosteroids were given as the drug of first choice. Other drugs, such as cytostatic ones, should only be given if steroids are ineffective. Arterial blood gases proved to be the most sensitive indicator of improvement, while the chest X-ray remained abnormal for several months.
Subject(s)
Pulmonary Fibrosis/diagnosis , Adolescent , Adrenal Cortex Hormones/therapeutic use , Biopsy , Blood Gas Analysis , Cough/etiology , Dyspnea/etiology , Humans , Male , Pulmonary Fibrosis/complications , Pulmonary Fibrosis/drug therapy , Respiratory Insufficiency/etiology , Time FactorsSubject(s)
Myocardial Infarction , Acute Disease , Adult , Aged , Arrhythmias, Cardiac/drug therapy , Arrhythmias, Cardiac/etiology , Creatine Kinase/blood , Exercise Test , Female , Hemodynamics , Hospitalization , Hospitals, Municipal , Humans , Hypertension/complications , Intensive Care Units , Lidocaine/therapeutic use , Male , Middle Aged , Myocardial Infarction/complications , Myocardial Infarction/diagnosis , Myocardial Infarction/physiopathology , Time Factors , Transaminases/bloodABSTRACT
Since June 1972, preoperative evaluation of the pulmonary hemodynamics and lung function tests at rest and on exercise were done in patients undergoing thoracotomy with lung resection. 49 patients have been investigated postoperatively, 28 patients had pre- and postoperative rightsided heart catheterization. 80% of the patients were feeling well and more than 50% were working again. The pulmonary hemodynamics showed postoperatively already at rest an increase of the pulmonary artery pressures, the cardiac index reached on exercise no longer the preoperative values and there was an increase of PCV pressures on exercise compared to preoperative. Stroke volume, heart rate, AV difference for oxygen, oxygen uptake, PaO2, V, VD/VT, AadO2, and diffusing capacity for CO steady state on exercise showed no statistical significant changes. The extent of lung resection showed no different influence on the pulmonary circulation for the time period investigated.
