Wiener klinische Wochenschrift. Supplementum
-
Wien Klin Wochenschr Suppl · Jan 1989
[Incidence and prognostic significance of pulmonary artery thromboses in patients with acute respiratory failure: a study of 106 patients using bilateral pulmonary balloon occlusion angiography].
In 106 patients suffering from acute respiratory failure of different severity 157 bedside balloon occlusion pulmonary angiographic studies have been performed through a pulmonary artery catheter to assess the frequency and extent of intravascular occlusive disease. The vascular alterations in acute respiratory failure impair the prognosis essentially. The decreasing pulmonary vascular cross-section causes a greater pulmonary vascular resistance and consecutive pulmonary artery hypertension and finally right heart failure. ⋯ Only in 30.2% the angiography was interpreted as normal. The mortality rate was significant higher in patients with multiple macro- and microthrombosis (82.9% respectively 52.2%) compared to patients with singular pulmonary artery filling defects and normal angiography (37.5% respectively 28.1%). The angiographic result was further correlated with the severity of the acute respiratory failure, the haemodynamic and haemostasiologic data, the degree of consolidation in the chest-X-ray and the post mortem angiographic studies.
-
Wien Klin Wochenschr Suppl · Jan 1986
Comparative Study[Comparative study of stability following the nailing of fractures of the femur shaft. An experimental study with cadaver bones].
Intramedullary osteosynthesis is preferred for shaft fractures of the long bones of the lower extremities because it generally results in early weight-bearing stability, allowing full function of the leg and rapid rehabilitation. Only transverse and short oblique fractures near the middle of the medullary cavity can be sufficiently stabilised using intramedullary nails alone. Additional stabilising aids such as cerclages or interlocking nails must be used for all other types of shaft fracture. ⋯ The axial tilt and rotation of the pieces of bone could be determined from the coordinates of the dots of light. The stability of nailed transverse femoral fractures (n = 6), short oblique fractures (n = 6), long oblique fractures (n = 6) and comminuted fractures (n = 6) was determined and compared with the deformation of intact femora. The stability of all types of osteosynthesis was several times less than that of the intact bones.(ABSTRACT TRUNCATED AT 400 WORDS)
-
Wien Klin Wochenschr Suppl · Jan 1985
[Vertical hepatitis B transmission in the Vienna area: epidemiologic and clinical studies].
This paper makes a summary on epidemiological and clinical experiences gained in Vienna since 1974 on the transmission of hepatitis B from mother to child (vertical hepatitis B transmission). 1. Hepatitis B and pregnancy: Whereas acute hepatitis B does not occur often in pregnant women, and HBs-antigen carrier status was found in 23 of 4,500 (0.52%) pregnant women examined prospectively. Three women were HBs-antigen positive, 18 were anti-HBe positive, and in no woman signs for an infection with delta-agent were found. ⋯ The human milk is probably only important as source of infection if it is contaminated by bleeding rhagades. 4. Course of the disease in infected children: The following course of disease was observed prospectively and retrospectively: subclinical infection, acute hepatitis B, fulminant hepatitis B (including two cases in siblings), asymptomatic carrier status, chronic persistent hepatitis B, chronic aggressive hepatitis B. The course of infection in the child seems to be influenced by the HBe-antigen status of the mother: In children of anti-HBe positive mothers HBs-antigen elimination is a frequent occurrence during the course of infection.(ABSTRACT TRUNCATED AT 400 WORDS)
-
Wien Klin Wochenschr Suppl · Jan 1983
[Crisis intervention technics and organization of crisis intervention. A unit for emergency psychiatry and crisis intervention-concept, structure and initial results].
Using the psychiatric admission unit of the Max-Planck- Institute for Psychiatry as an example, the principles of inpatient treatment of psychiatric emergency patients respectively inpatient crisis intervention are presented. It can be demonstrated, that small units with short treatment duration and a multidisciplinary team with psycho-therapeutic orientation are most useful. ⋯ A regular supervision is necessary. Most of the patients are referred after the completion of the inpatient stay for further treatment on an in- or outpatient basis.