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Biomedical subjects

L Metz

Publications and source records attributed to L Metz.

At least 37 records · Page 2Linked to original sources

[Subclavian transposition and carotid-subclavian bypass in the treatment of subclavian steal syndrome].

The authors operated on 89 patients for subclavian-steal syndrome, between 1975 and 1984. A carotid-subclavian bypass was applied to 53 patients and transposition of the subclavian artery to another 36. All transpositions were open after an average follow-up period of 2.7 years, where an occlusion was recorded after 4.6 years from eight patients (19.5 per cent) to whom a bypass had been applied. Postoperative complications were equal in both groups. A complex of Horner symptoms was recorded from either group. Phrenoparalysis was recorded from six patients with carotid-subclavian bypass and from four patients with subclavian transposition.

Carotid Arteries↗

[Aneurysm of the extracranial internal carotid artery].

Aneurysm of the extracranial internal carotid artery is a rarely observed condition. Intra-aneurysmatic thrombosis, cerebral embolism with possible neurological consequences, and rupture are the most common complications. Operations were performed on 20 patients for aneurysm of the internal carotid artery. The cases included 14 "genuine" arteriosclerotic aneurysms and seven "false" aneurysms in the wake of shell splinter injuries, tonsillectomy, thrombo-arteriectomy, and blunt traumata. Pulsating tumour was the most important clinical symptom in all aneurysm cases. Arterial continuity was restored by resection of aneurysm in all cases. Sixteen patients were dehospitalised without any complaint. Two patients with preoperative cerebral infarction were left with residual paresis. One patient died of pulmonary embolism, and one patient operated on for rupture died in shock.

Adolescent↗

[Treatment results following acute thrombophlebitis. A comparison between thrombectomy and fibrinolysis therapy].

In a retrospective study 55 patients suffering from acute phlebothrombosis were subjected to an examination in order to evaluate the long term results of treatment. Good results of treatment could be achieved for the compensated stages 0-II of the postthrombotic syndrome in 22 patients after thromboectomy and in 33 patients after fibrinolysis (82 or 85% respectively). The portion of bad results of both methods, in the decompensated stages III-IV of the postthrombotic syndrome, was high (18 or 15% respectively). In both methods there was only 1 patient in stage IV of the postthrombotic syndrome, i.e. the total study comprised only 2 patients suffering from a postthrombotic crural ulcer.

Acute Disease↗

[Noninvasive diagnosis of occlusive processes of the brachiocephalic arteries: Doppler sonography compared to ophthalmodynamometry and ophthalmodynamography].

97 patients with suspected cerebrovascular disease were examined using ophthalmodynamometry/ophthalmodynamography and dopplersonography. In 49 of the patients we found haemodynamic changes typical of brachio-cephalic artery occlusion processes. In 36 patients angiography was performed either as a preparation for vascular surgery or for further clarification. Ophthalmodynamometry/ophthalmodynamography examination yielded diagnosis in 87%, dopplersonography and combined use of ophthalmodynamometry/ophthalmodynamography and dopplersonography in 94% of the brachio-cephalic artery occlusion processes.

Adolescent↗

Nursing care of an osteogenesis imperfecta infant and child.

Because the child with osteogenesis imperfecta is hospitalized in the same setting many times throughout his childhood, the nursing staff become well acquainted with him and his family, and are able to assess the child's and parents' understanding of this chronic debilitating disease. The staff can help them to develop a realistic attitude toward their life and future plans. The family should be encouraged to see that the OI child attends a regular school whenever possible so that their active, excellent minds can develop. The family and child should be assured that an OI child can be educated to become a self-supporting adult.

Child, Preschool↗