Langenbecks Archiv für Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft für Chirurgie. Deutsche Gesellschaft für Chirurgie. Kongress
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Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1990
[Monitoring and management of the central nervous system in treatment of tumor cachexia].
After palliative surgery artificial nutrition is indicated primarily in patients receiving postoperative chemotherapy or radiotherapy. The techniques of ambulatory enteral or parenteral nutrition have been standardized during the past decade. ⋯ An improvement of the nutritional status can be expected in most of the patients. Further clinical trials are needed to determine whether the patients' quality of life improves.
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Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1990
Comparative Study[Blunt abdominal trauma: practical diagnostic strategy].
The principal aim of a practical diagnostic strategy is rapidly identify the organ injury following blunt abdominal trauma. A general diagnostic strategy and special technical investigations are described and their relative values discussed. ⋯ Its sensitivity was 96% and specificity 98%. Following examination by ultrasound the rate of negative laparotomies was 1.3%.
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Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1990
[Fluid balance and postoperative lung function].
Postoperative volume therapy: 1. Replacement of fluid loss. 2. Therapy of intravasal hypovolaemia in case of permeability damage or intracellular fluid shift. ⋯ Differential treatment has to be based on additional measurement of cardiac output and pulmonary capillary pressure. Volume treatment in postoperative complications is essential because of intravasal hypovolaemia. Kidney and cardiac failure have to be ruled out.
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Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1990
[Postoperative lung complications--introduction].
Intensive care patients suffer according to literature in 20-60% from pneumonia with a mortality up to 80%. The patient, operation and postoperative therapy influence its pathogenesis. ⋯ Specifity of clinical and plain X-ray diagnosis is only 30-50%. Selective gastrointestinal decontamination, exactly monitored fluid balance, and physio-, and paintherapy seem to be valuable preventive measures.
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Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1990
Review[Acute respiratory distress syndrome of the adult: are there new therapeutic approaches?].
The mortality of adult respiratory distress syndrome (ARDS) remains high despite increasing understanding of the syndrome's pathophysiology, better monitoring and new ventilatory techniques. The outcome can be improved adequate systemic oxygen availability, improved infection control, and biochemical monitoring and interventions. Only by combinating of several treatment modalities is there a reasonable chance to change the prognosis of ARDS.