[Therapy of acute hemorrhagic necrotizing pancreatitis with special reference to peritoneal irrigation].
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Biomedical subjects
Publications and source records attributed to E Striehn.
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Methemalbumin was estimated by means of electrophoresis and the method of Walberg, respectively in 59 patients (25 pat. with edematous, 34 patients with hemorrhagic pancreatitis) partially over three days. In addition the estimation of free hemoglobin in ascites has been carried out. By both approaches of methemalbumin estimation there was no differentiation of the two pancreatitis forms possible. Though the method of Walberg was much more sensitive especially in the serum its specificity was correspondingly lower. The tendency to a correlation of the methemalbumin-concentration to the severity of the course of the disease could be observed. Such a correlation has been proved statistically for the free hemoglobin.
Over a period of 2 years patients with exogenic intoxications take 16% in the total number of patients of the department for internal intensive care. The cases in question were 43.3% males and 56.7% females. The average age of the patients with 31 years was low. The mortality was 2.4%. In the first place of the exogenic intoxications were intoxications with the groups of medicaments sedatives, hypnotics, tranquilizers, analgetics and antipyretics followed by intoxications with neuroleptics, beta-receptor blockers, antidepressives, antiepileptics and glycosides. The rate of complications was greatest in the mixed intoxications.
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An unusual, pericardial malposition of an introducible electrode catheter in cardiopulmonary reanimation is described.
Today, as far as we know the multiple complications of different organs in connection with an acute pancreatitis are due to an enzyme intoxication and/or an endotoxinaemia. The paper reports about experimentally results which establish this view. In addition the favourable effects of the peritoneal dialysis on the course of the disease is emphasized by a prospective study. Important factors which must be considered in view of the effectiveness of the method are quoted.