RESUMO
After endoscopic papillotomy a frequent problem is removal of large concrements from the common bile duct. The following techniques are used for this purpose: ultrasound or electrohydraulic lithotripsy, pharmacological dissolution of concrements and their destruction with laser radiation. Mechanical lithotripsy is one of more often used methods. The authors describe their clinical experiences with the use of mechanical lithotripsy in 12 patients with large concrements in the common bile duct.
Assuntos
Cálculos Biliares/terapia , Litotripsia/instrumentação , Idoso , Desenho de Equipamento , Feminino , Humanos , Litotripsia/métodos , Masculino , Pessoa de Meia-Idade , PolôniaAssuntos
Colelitíase/diagnóstico , Adolescente , Adulto , Idoso , Colecistografia , Colelitíase/cirurgia , Reações Falso-Negativas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , UltrassonografiaAssuntos
Coagulação Sanguínea/efeitos dos fármacos , Somatostatina/administração & dosagem , Animais , Coagulantes , Cães , Fibrinogênio/análise , Hormônios/administração & dosagem , Injeções Intravenosas , Plasminogênio/análise , Trombocitopenia/induzido quimicamente , Fatores de Tempo , alfa 1-Antitripsina/análise , alfa 2-Antiplasmina/análiseRESUMO
The effect of somatostatin on haemostasis in the dogs was tested. The following data could be found: marked shortening of clotting time, decrease of platelet count, decrease of fibrinogen, level, an increase of plasma euglobulin fibrinolytic activity, prolongation of thrombin time and consumption of plasminogen. The obtained results indicate a biphasic haemostatic reaction, first hypercoagulability and then hypocoagulability. The presented results are briefly discussed with some remarks to clinical practice.