Ugeskrift for laeger
-
Ugeskrift for laeger · Apr 1994
Case Reports[Continuous subcutaneous morphine to patients with terminal cancer. Analgesia at home].
Since 1992 it has been possible for cancer patients in the county of Southern Jutland to receive terminal care in their own homes. An essential part of this management is effective pain relief; more than 60% of cancer patients have chronic pain. ⋯ The patient may be treated in this latter manner for long periods of time. A case story is described where a cancer patient was treated with continuous subcutaneous morphine in his home for more than 257 days without complications or major side-effects.
-
Ugeskrift for laeger · Apr 1994
Review Historical Article[Staphylococcus aureus--33-year epidemiology in Denmark. From hospital epidemics to endogenous infections?].
Data on 591,292 Staphylococcus aureus strains from Danish patients in the period 1960-1992 have shown that penicillin- and streptomycin-resistant strains of the 52,52A,80,81 phagetype complex dominated around 1960 and were replaced by multiresistant strains of the 83A complex during 1965-1975. Since then the majority of the strains have been resistant to penicillin only, firstly due to an increased occurrence of the 94,96 complex followed by strains of type 95 and group II. ⋯ Hospital outbreaks with S. aureus have in recent years only rarely been detected in Denmark and phagetyping results might indicate that today patients are mainly infected by their own strain. In the future, infection control and surveillance of antibiotic resistance and phagetypes should be continued together with new studies on carriage and foreign body infections.
-
Ugeskrift for laeger · Mar 1994
Case Reports[Macrocytic anemia in the last trimester of pregnancy due to dietary insufficiency--initially interpreted as the HELLP syndrome].
A case of severe macrocytic anaemia caused by cobalamin and folic acid deficiency in a 32 year-old gemellipregnant woman in gestational week 32 +2 is described. Her symptoms and the laboratory data were initially interpreted as HELLP-syndrome (haemolysis, elevated liver enzymes and low platelet count), and caesarean section was performed. ⋯ If she had received dietary advice early in the pregnancy, anaemia could have been avoided. This emphasizes the need for dietary advice early in pregnancy.
-
Ugeskrift for laeger · Mar 1994
Review[Complications of epidural bupivacaine analgesia in vaginal labor].
Epidural analgesia is accepted as a good and effective method of analgesia in labor. The method is, however subject to a variety of complications, the worst being life long sequelae and death. The article presents a survey of the complications of bupivacaine epidural analgesia in labour and state prophylactic measures and treatments. The existing literature on the field is commented and criticized.