Langenbecks Archiv für Chirurgie
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Langenbecks Arch Chir · Nov 1976
[Oerations on peripheral nerves, plexus and nerve roots, including subarachnoid block with phenol in chronic pain (author's transl)].
Peripheral surgery was performed in 112 patients. Neurolysis or resection of neurons gave rather poor results in pain after nerve injury and stump pain. ⋯ Subarachnoid blocks with Phenol gave similar promising results. Causalgia responds well in a high percentage of cases to sympathectomy; cases of postherpetic neuralgia phantom pain and tabetic crises generally do not respond to peripheral surgery.
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Langenbecks Arch Chir · Nov 1976
[Hospital infection during postoperative intensive care (author's transl)].
Since 1970 all postoperative bacteriological findings recorded in surgical patients have been analyzed and compared with the postoperative course. There are also regular checks of bacterial invasion in the operating suites and in the intensive care units. By such means as systems of double lock for personnel and equipment, regular surface disinfection, frequent hand disinfection, cleaning of the respirators with antiseptics, etc., the authors have been able to reduce the incidence of hospital infection very drastically. These measures also almost eliminated cross-infections in patients on long-term ventilation and complications with long-term indwelling catheters.
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Langenbecks Arch Chir · Jan 1976
[Pulmonary hemodynamics, coagulation and morphological changes in the lung after thrombocyte aggregation inhibition and intravasal coagulation in experimental trauma and hemorrhagic shock].
26 mongrel dogs are subjected to a standardized bone trauma followed by a hypotonic hemorrhagic shock. Compared with a control and heparin group prophylactic treatment with Dipyridamol and Acetylsalicylic Acid decreases pulmonary vascular resistance significantly. ⋯ The decrease of the fibrinogen level and the fall of total platelet count after trauma and hemorrhage can partly be prevented by the application of heparin, likewise the development of pulmonary microthrombosis. Histological examination shows a markedly diminished pulmonary microthrombosis.
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Langenbecks Arch Chir · Jan 1976
[Preventive treatment with methylprednisolone and heparin in experimental trauma and hemorrhagic shock].
Twenty-six anesthesized mongrel dogs were subjected to a standardized traumatic hemorrhagic shock. Compared with the control group prophylactic treatment with high doses of methylprednisolone reduced functional and histologic alterations of the lung. Methylprednisolone in combination with heparin pretreatment prevents microthrombi but produces more alveolar bleeding.