[Twenty-five years of experience with surgical treatment of fractures of the proximal part of the femur (author's transl)].
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Biomedical subjects
Publications and source records attributed to J Bauer.
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We examined 21 patients with infarction of the anterior or lateral wall and 29 patients with infarction of the posterior wall at an average age of 48.3 years in rehabilitation stage II by means of kymographic methods. By reason of our results the surface kymogramme is a valuable screening method for the recognition of a pathological movement of the ventricular wall in myocardial infarction. The simultaneously performed electrokymographic examinations on patients with myocardial infarction referred to a relatively high proportion of clinically insignificant surface-kymographic findings. Except from this is the surface-kymographic motion paradoxis, which in every case also electrokymographically showed a considerable disturbance of the movement of the ventricular wall in the sense of a dynamic aneurysm of the heart wall after Heckmann with a decreased heart function. A pathological electrokymogramme of the heart wall was to be found only from stage II of the heart function after Roskamm, i.e. with reduction of the contractility of the heart in rest. From this results the clinical significance of the pathological electrokymogramme as reference to a considerable functional disturbance of the myocardium, partly without any subjective complaints present at the time of examination or clinical symptoms of heart insufficiency. The importance of these findings for rehabilitation will be possible only after longitudinal investigations of many years. As preliminary examination for electrokymography in chronic ischaemic heart disease a surface kymogramme is to be demanded, since in an unconspicuous surface kymogramme no indication to electrokymography is given.
A retrospective analysis of 1171 consecutive percutaneous retrograde brachial and carotid cerebral angiograms was performed on 635 patients, 50.7% of whom were in the sixth decade or older. Symptoms and signs of cerebrovascular disease were the most frequently investigated and diagnosed, accounting for 46.7% of all the angiograms. Despite this relatively high-risk population, we have found direct percutaneous cerebral angiography to have a very low risk. The pros and cons of direct percutaneous versus transfemoral cerebral angiography are discussed. The literature of the previous 10 years is reviewed, and the complication rate of these two techniques is compared.
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We describe two cases of universal ulcerative colitis in which toxic megacolon was complicated by the unusual occurrence of air tracking retroperitoneally through the diaphragm and the mediastinum, without signs of free intraperitoneal air, and ultimately presenting as subcutaneous emphysema in the neck. Physicians should remain alert to this unusual presentation of air leakage from the colon in toxic ulcerative colitis, in order to appreciate the potential gravity of the situation.
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The records of ten patients who underwent splenectomy for Gaucher's disease were reviewed. All patients had the adult type of the disease. The indications for splenectomy were hypersplenism and mechanical problems. The hematological picture returned to normal in all cases and has remained so throughout the follow-up period. The different forms Gaucher's disease and specific diagnostic tests are discussed. Even though splenectomy is indicated when hematological and mechanical problems exist, selective enzymatic replacement therapy seems to be the preferred future mode of treatment.
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