Helvetica chirurgica acta
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Helvetica chirurgica acta · Jun 1980
[Missed tendon and nerve injuries in the newly traumatized hand - a prospective study].
In a series of 94 open hand injuries the preoperative findings are compared to those found during the operative procedure. Tendon and nerve injuries were diagnosed preoperatively only in 60% of the cases. The importance of the correct operative revision is emphasized.
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Helvetica chirurgica acta · Feb 1979
[Burn mortality and morbidity: experience of the burn center in Zürich from 1967 to 1977].
Ten years of burn treatment in a burn center are compared to the ten years prior to 1967: --Survival has increased markedly, due to aggressive local treatment with débridement, topical ointments, biologic dressings, and rapid closure of wounds. --Functional and cosmetic results have improved since tangential excision and immediate autografting are routinely performed. --Favourable results with shorter duration of hospitalization are obtained if doctors and nurses can acquire and apply their knowledge in many cases as is possible in a burn center.
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Helvetica chirurgica acta · Jul 1978
[Selective catheterization of peripheral arteries for the monitoring of patients in intensive care units].
In critical ill patients, determination of blood gases is a crucial part of patient evaluation and management. In intensive care situations many blood-gas determinations are required in a single day. The introduction of an arterial catheter into a small peripheral artery is an invaluable technique that allows continuous blood-sampling. ⋯ Temporary ischaemia of the upper limb appeared in three patients after simultaneous catheterization of both ulnar and radial arteries. The infection rate was nil. Arterial catheterization and maintenance of indwelling catheter for repeated blood-samples is a simple and safe procedure with minimal complications, invaluable in the management of critical ill patients.
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Helvetica chirurgica acta · Oct 1977
Case Reports[Spontaneous rupture of the spleen during anticoagulant therapy].
Three cases of spontaneous rupture of the spleen in patients which were on long-term anticoagulant therapy are reported. In patients with the trias faulty coagulation, signs of hemorrhagic shock and of peritonitis in the upper abdominal part the possibility of a spontaneous rupture of the spleen must be considered. The diagnosis can then be confirmed by a positive peritoneal lavage. Once the diagnosis is made, the therapy is splenectomy.
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Helvetica chirurgica acta · Oct 1977
[Septicemia in the intensive care of severely injured patients].
In surgical intensive care septicaemia, confirmed by bacteriological culture, was found in 46 out of 1143 severely injured patients. Source of this complication was infection of the respiratory tract in 43%, intraabdominal infection in 17%, and a septic wound in 15%. Mortality was 50%. Early diagnosis (fever, increase of leucocytes and toxic signs in differential blood count, thrombocythemia, decrease of anorganic phosphate), prophylaxis, and treatment are discussed.