Nederlands tijdschrift voor geneeskunde
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Spur-cell anaemia is a severe haemolytic disorder which may occur in patients with alcoholic liver cirrhosis. Characteristics are the bizarre shape of erythrocytes and the elevated cholesterol content in the membrane of the erythrocyte. ⋯ Splenectomy appears to be the best treatment. If splenectomy is not an option, frequent transfusions are the only therapy.
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Ned Tijdschr Geneeskd · Apr 1991
Case Reports[A patient with pulmonary edema following use of beta-sympathomimetics (tocolytic agents)].
During her pregnancy (29 weeks) a 29-year-old woman complained of pain in the right upper quadrant of her abdomen. Gallbladder stones were demonstrated by ultrasonography. Because of recurrent pain attacks cholecystectomy was performed. ⋯ She needed artificial ventilation for 15 days. There appears to be a pathophysiological relationship between the development of pulmonary oedema and tocolytic therapy. Probably, pulmonary oedema may develop during tocolytic therapy as a result of several factors such as increased hydrostatic pressure, decreased oncotic pressure and perhaps capillary leakage.