Biomedical subjects
Publications and source records attributed to A Ramée.
Acute post-partum hemorrhage secondary to a coagulation disorder was successfully treated by embolization of the uterine arteries. The technique used is described, and the place of embolization as an alternative to surgical procedures discussed.
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The obstetrical interest of the pelvimetry is increasing. The irradiation must be limited and the maximum informations must be provided. The authors try to demonstrate that the use of two views (Fernström and Lateral) and of diagram gives as much prognostic informations as an examination including a Throms' incidence.
These 2 cases were similar in terms of the time of onset of problems at the 8th month, the clinical and radiological signs of the tumour, and the existence of an amenorrhoea-galactorrhoea syndrome with hyperprolactinaemia. They differed with regard to the mode in which the pregnancy was obtained: one was induced by anti-prolactins in the presence of a normal sella turcica whilst the other began during the cycle following the administration of clomiphene with no prior radiological study of the sella turcica. They also differed in terms of the course: intra-tumoural haematoma requiring early surgery in one, hyperplasia and oedema regressing after delivery in the other making it possible to avoid immediate treatment.
The authors report 50 by-pass operations followed up for from 6 months to 4 years, which were designed to restore the blood supply via the leg arteries in peripheral arterial disease of the lower limbs. 40 patients were at stages III and IV; acute ischemia required emergency operation in 6 cases. 2 Patients died immediately after operation. 30 by-passes remained permeable. A cure of the trophic disorder and a functional improvement were obtained in 39 patients with only 8 subsequent amputations. In the light of the world literature and their personal experience they discuss the main pronostic factors and the indications for this method which has proved to be a remarkable progress in the treatment of severe arterial disease of the lower limbs.
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Hyperthyroidism gives seldom a gynecomastia. We describe an iodine induced thyrotoxicosis, after benziodarone, which is associated with a gynecomastia. Hyperthyroidism and gynecomastia vanish after stop of the drug.
After four years' experience of the use of a computer-based system for establishing appointments for radiologic examinations, a more elaborate organization is envisaged and its broad outlines described. The developed ideas should assist preparation of one part of the specifications of a computer-based system for a department of medical imaging.