[Fractures of the upper end of the humerus].
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Biomedical subjects
Publications and source records attributed to J Michek.
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From 1971-1982, 598 polytraumatized patients had concomitant injuries of the retroperitoneal space. The mortality rate came up to 33.4%. Diagnostically abdominal lavage, laparoscopy, selective angiography and CT were carried out. Often life saving laparotomy had to be practised without further delay.
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This is a retrospective study of all post-mortem reports made by the Institute of Forensic Medicine at the University of Brno between 1972 and 1981, where a hepatic trauma was present (495 cases). Only 73 patients, suffering from a liver injury mostly in combination with concomitant injuries were admitted in time. All others came to death during transportation or before surgical help could be established. Diagnostically the authors emphasise urgent laparoscopy and in special cases selective arteriography, sonography and CT. Partial resection of the liver segments should be preferred to tamponade of liver wounds which is no longer recommended.
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From 1971 to 1980, 7015 operations of the bile duct were performed at the IIIrd Surgical Clinic (University of Brno) and the District Hospital Brno: 25 cases for acute septic cholangitis, 725 cases for acute or recurrent cholecystopancreatitis and 30 cases for acute obstruction of Vater's papilla with concomitant biliary hypertension of the biliary tree and shock symptoms. This "papillary shock" was complicated by infection and needed urgent surgical intervention.
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