MMW, Münchener medizinische Wochenschrift
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MMW Munch Med Wochenschr · Jan 1977
Case Reports[Zinc treatment of acrodermatitis enteropathica (author's transl)].
Treatment of acrodermatitis enteropathica with zinc sulfate, first described by Moynahan and Barnes in 1973, has been widely accepted. We have treated a case of acrodermatitis enteropathica successfully with this drug. The 14-year old boy had to discontinue clioquinol because of a partial opticus atrophy. ⋯ Following zinc sulfate treatment the lesions rapidly disappeared and the general health of the patient greatly improved. Small doses of zinc sulfate are sufficient for maintenance therapy. The pathogenesis of acrodermatitis enteropathica is reviewed and the modes of action of zinc therapy are considered.
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In spite of the great advances in anesthesia, regional anesthesia has not lost its importance. The development of new, longer-acting local anesthetics has extended its indication still more. The causes of accidents lie mostly in ignorance ofthe pharmacology of local anesthetics and their adjuvants, in faulty technical performance of the nerve blockade and last but not least in inadequate knowledge of the therapy, of the side effects and complications. The various complications of regional anesthesia are reported on and the necessary therapy dealt with.
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MMW Munch Med Wochenschr · Apr 1976
[New aspects of shock therapy with volume expanders (author's transl)].
For successful primary treatment of hemorrhagic shock the infusion of volume expanders is a "conditio sine qua non''. Of the original possibilities for selection, Ringer's lactated injection can no longer be recommended for the compensation of intravascular loss in the light of more recent pathophysiological knowledge. ⋯ The danger of anaphylactoid side effects is to be estimated as about equal in all 4 groups of substances. Seen from the point of view of replacement function and of rheological and pharmacological properties, the higher molecular dextrans may still be considered the method of choice for shock therapy.
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MMW Munch Med Wochenschr · Oct 1975
[Duties and problems of a neurological intensive care unit (author's transl)].
The duties and problems of a neurological intensive care unit are described and illustrated by our experience with a newly built intensive care unit. Indications, technical equipment, diagnostic, therapeutic, scientific, personnel and psychological aspects are pointed out and a first survey of the patients treated. An approximately equal group of seasonal acute inflammatory diseases of the central and peripheral nervous systems compares with a similar one with cerebral vascular processes. The possibility of longterm electrophysiological studies using computers and trend analysis and the particular significance of CSF pressure measurements and pharmacokinetics of the CSF as scientific aspects are emphasized.
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MMW Munch Med Wochenschr · Sep 1975
[The limits of the doctor's duty in intensive medicine (author's transl)].
The technical possibilities of intensive care, bound up with hope and torment for those treated, call for limitation of the duties of the doctor at the point where the treatment becomes mere technical brilliance and utterly pointless for the survival or subsequent life of the patient. The doctor's problem is to know when a treatment is hopeless. ⋯ An attempt is made to draw up a series of degrees of intensive therapy for practical purposes. The performance of such a graded therapy, which in the last analysis consists of the stage by stage disposal of maximum possibilities of treatment, demands the capacity to think, the courage of responsibility and a great wealth of psychological and human insight.