Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
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Phrenic nerve injury and diaphragmatic dysfunction can be induced by cardiac operation. We evaluated nonconsecutive 34 patients (pts) with elevation of the diaphragma after cardiac operation. 27 pts have coronary artery bypass grafting, 7 pts have prosthetic valve implantation. ⋯ In our pts normalisation of the diaphragm we observed 6 months after operation in 41% pts and 12 month after in 93% pts. We suggest that results depends on early and well rehabilitation.
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This review refers to the special aspects of diagnosis and therapy of urinary tract infections in the elderly.
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Pol. Merkur. Lekarski · Oct 2000
Case Reports[A case of choanal polyp in a man with aspirin triad and pollinosis].
The authors describe a case of a man with a large choanal polyp descending into the hypopharynx. The man presented additional symptoms of full aspirin intolerance and pollinosis caused with grass pollen antigens. ⋯ Postoperatively treatment with leukotriene antagonists and with an intranasal steroids with positive clinical effect was begun. However the patient discontinued the therapeutic process causing polyp recurrence within a short time.
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In modern anaesthesiology drug interactions are inevitable. The interactions between anaesthetic drugs are well known for anaesthesiologists and even purposely used to obtain optimal anaesthetic effects. ⋯ In this survey the most common interactions between anaesthetics and popular groups of drugs were discussed. The knowledge of drug interactions is very important and useful for the practice of anaesthesia.
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Pol. Merkur. Lekarski · Jul 2000
Editorial[Central nervous system dysfunction in patients with postresuscitation syndrome].
The work discusses the consequences of central nervous system dysfunction occurring in the course of postresuscitation syndrome (postresuscitation disease). Haemodynamic, morphological and metabolic changes in the central nervous system resulting from ischaemia and reperfusion in cerebral vessels have been discussed. Attention has been paid to the irreversibility and progressive character of certain changes in brain tissue initiated at the moment of cardiac arrest. The author also presents trials of management of the postresuscitation disease which have been undertaken so far and which concern pathophysiological mechanisms conditioning the development of brain injury as a result of cardiac arrest, resuscitation procedures and restoration of spontaneous circulation.