Acta medica Scandinavica
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Acta medica Scandinavica · Jan 1980
Hemoperfusion with Amberlite resin in the treatment of self-poisoning.
Ten patients with various intoxications were treated with resin hemoperfusion. Three of four patients with grade IV coma due to tricyclic antidepressant (TCA) poisoning could be extubated during or on termination of hemoperfusion. Clearance values of 135--185 and 190--200 ml/min were obtained for amitriptyline and nortriptyline, respectively. ⋯ Four patients with mushroom poisoning were treated with combined hemoperfusion-hemodialysis. A transient fall in platelet count was seen in all patients. Resin hemoperfusion is of definite value in selected, severe cases of self-poisoning with psychotropic drugs such as TCA and possibly in cases of mushroom poisoning where the prognosis with hemodialysis and supportive therapy is doubtful.
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In the population study "70-year-old people in Göteborg" 45.5% of the probands were found to have an increased exertional dyspnea or to be short of breath at the medical examination. We have found it interesting to estimate to what extent a subjective experience of dyspnea at the age of 70 is related to disease and whether it is available for treatment. Out of these probands, 64% of the males and 48% of the females suffered from cardiac failure or pulmonary disease, compared to 48% of males, and 24% of females without dyspnea. ⋯ They also had a significantly lower peak flow rate. A dyspnea that was not statistically related to disease was found in 30% of the males and 43% of the females. During a 5-year follow-up there was no statistically significant difference in mortality between dyspnoic probands without cardiopulmonary disease and others.
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Acta medica Scandinavica · Jan 1980
Case ReportsStokes-Adams attacks requiring pacemaker treatment in three patients with acute nonspecific myocarditis.
Three patients, aged 16--44 years, with complete heart block in acute myocarditis are reported. The diagnosis of myocarditis was based on the development of transitory repolarization disturbances on the ECG in association with clinical signs of acute infectious disease. ⋯ The patients were all successfully treated with temporary intracardiac pacing but one of them later turned out to require a permanent pacemaker. The possibility of differences in localization and in prognostic importance of conduction disturbances between infectious and ischemic myocardial disease is discussed.
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Acta medica Scandinavica · Jan 1980
Case ReportsSpontaneous pneumothorax as first symptom in bronchial carcinoma.
Pneumothorax is a rare manifestation of lung cancer. It has been reported to date in a total of about 25 patients. We describe two patients with spontaneous pneumothorax as the first sign of a bronchial carcinoma.