Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · May 1982
[Real-time sonography of upper abdominal arteries and veins (author's transl)].
Improved resolution of new real time sonographic equipment permits demonstration and demarcation of vascular structures which could not be differentiated formerly. Successful differentiation frequency of upper abdominal vessels and establishment of optimal transducer position were investigated prospectively in 100 patients undergoing sonographic upper abdominal assessment. ⋯ Real-time sonography enables rapid assessment of vascular structures. Pulse and respiration dependent variations of calibre are a valuable means for differentiation.
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Dtsch. Med. Wochenschr. · Aug 1981
Randomized Controlled Trial Clinical Trial[Abnormalities of hypotonic orthostatic regulation: cardiovascular effects of dihydroergotamine, etilefrine and their combination (author's transl)].
In a double-blind inter-individual study of 51 patients with abnormal hypotonic orthostatic regulation, the effect of dihydroergotamine (2 mg), etilefrine (20 mg) or their combination (2 mg and 20 mg, respectively) was studied. Blood pressure, heart rate, dicrotic ratio as well as number and severity of symptoms during standardised orthostasis were studied before and after a week on placebo and after one and two weeks of drug administration. ⋯ Treatment with the combined drugs was also superior when considering systolic blood pressure, pressure amplitude and heart rate. Similarly, the drugs in combination caused the least number and lowest severity of symptoms: side-effects were less common with the combination than with each drug alone.
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Dtsch. Med. Wochenschr. · Oct 1980
Case Reports[Lead intoxication due to taking snuff (author's transl)].
Clinically manifest lead poisoning was diagnosed in a 66-year-old patient, the cause of which remained unclear at first. In the search for the source of poison it was surprisingly discovered that the patient had been inhaling lead contaminated snuff for several years. Two years after elimination of the source the patient was symptom-free, pathological laboratory findings had be come normal except for a slight increase of erythrocyte protoporphyrins.
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Dtsch. Med. Wochenschr. · Sep 1980
Case Reports[Pulmonary oedema as a complication of tocolytic therapy (author's transl)].
Tocolytic treatment with fenoterol and additional administration of betamethasone and acetyl salicylic acid to a 19-year-old girl caused irreversible and finally fatal pulmonary changes. The clinical course in this and that of other published cases indicates a causal relationship between the tocolytic treatment and the onset of pulmonary oedema. The pulmonary arterial pressures in this patient, the poor therapeutic response and the shock-lung picture without corresponding myocardial changes suggest a non-cardiogenic cause of pulmonary oedema. Any of the three drugs administered could have been responsible.