Casopís lékar̆ů c̆eských
-
Sepsis and its complications are serious medical problem of intensive medicine. Therefore recently several therapeutic procedures were tested in sepsis and its complications such as syndrome of multiorgan dysfunction or septic shock. The authors review possibilities how to treat these complications.
-
Casopís lékar̆ů c̆eských · Sep 1996
Review[Sepsis. I. [Definition of the concept and comments on pathophysiology].
During the past five years a marked development occurred as regards knowledge on sepsis and its complications. A new term was introduced-SIRS (systemic inflammatory response syndrome). ⋯ First the clinical picture of sepsis need not be due only to infection, and the patient is not an innocent victim of infection, but the organ damage is the results of the patient's active fight with the inducing cause. The authors review recent views regarding the pathophysiology of sepsis.
-
Casopís lékar̆ů c̆eských · Feb 1996
Case Reports[Renal failure caused by rhabdomyolysis induced by hypokalemia in Conn's syndrome].
The authors submit a case-history of a patient who developed renal failure as a result of acute rhabdomyolysis induced by severe hypokalaemia in Conn's syndrome. The authors describe the diagnosis of the disease, its course and discuss the relationship of hypokalaemia, rhabdomyolysis and acute renal failure.
-
The objective of the present work was to assess the most frequent disorder of the acid-base equilibrium in delirium tremens. The author examined a group of 77 alcoholics with delirium tremens. In 62 (80.5%) by the Astrup method respiratory alkalosis was detected, in 7 (9%) metabolic alkalosis was recorded, in 1 (1.5%) metabolic acidosis and in 7 patients (9%) the values of the acid-base equilibrium were normal. ⋯ A negative effect is exerted by shortage of energy substrates and protein catabolism the effect of ethyl alcohol on the intermediary metabolism, the psychosis as such, insufficiency of parenchymatous organs and neurohumoral dysregulation after discontinued alcohol intake. Examination of the acid-base equilibrium in delirium tremens is essential for differential diagnosis, correct treatment and prevention of complications. The author discusses briefly treatment of delirium tremens and principles of correction of associated acid-base and ion disorders.
-
Casopís lékar̆ů c̆eských · Mar 1992
Historical Article[Surgical instruments at the Medical Museum].