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Biomedical subjects

W Glinz

Publications and source records attributed to W Glinz.

At least 55 records · Page 3Linked to original sources
PubMed1984

[Acute kidney failure in patients with multiple injuries].

19 patients suffering from posttraumatic acute renal failure were treated by hemodialysis at least three times a week and sometimes daily. In addition to trauma and acute renal failure (arf), all patients had various other posttraumatic complications. The overall mortality within 12 months from trauma was 84%. The high mortality rate was due mainly to the extent of injury and the occurrence of life-threatening complications, above all sepsis. Whether or not these basic problems are aggravated by arf, the overall results of the treatment call for careful establishment of the indications for these laborious and expensive therapeutic measures.

Acute Kidney Injury↗
PubMed1983

[Is the substitution of zinc and copper in parenterally fed polytraumatized patients needed? Analysis of 34 patients].

Total parenteral nutrition (TPN) is rarely accompanied by deficiency of copper and then only after a very long period. Therefore, the authors do not consider it necessary to substitute copper in trauma patients in the intensive care unit. Zinc is an important component of numerous vital enzyme systems, but there are very few cases which demand substitution of zinc deficiency. A low serum zinc level may result from many acute and chronic conditions without necessarily being the consequence of a real zinc deficiency. Hence the authors do not consider prophylactic administration of zinc in every case as appropriate for adult trauma patients, unless clear clinical findings indicate a test with zinc. The various zinc toxicity symptoms are described.

Adult↗
PubMed1983

[Prognosis of severe craniocerebral trauma using neurophysiologic parameters].

40 patients in acute posttraumatic coma were assessed with help of 3 electrophysiological methods: short latency somatosensory evoked potentials (SEPs), brainstem auditory evoked potentials (BAEPs) and EEG, the results of which were compared with clinical outcome 3 months after the head injury (Fisher's exact probability test). SEPs proved to be the most reliable method for prognostic evaluation of these patients (p less than 0.001), followed by the EEG (p less than 0.002), the prognostic relevance of which, however, is limited by the use of narcotic drugs (barbiturates). BAEPs are less useful for the evaluation of these patients (p less than 0.01), which may be due to traumatic lesions of the cochlea, or even more often, to blood clots in the external ear canal, leading to conducting hearing loss. Conversely, the short axons of the auditory structures of the brainstem appear to be less susceptible to shearing forces of the primary mechanical impact, than the comparatively widely extended thalamocortical connections of the afferent somatosensory system.

Adolescent↗
PubMed1982

[The fate of critically injured patients].

The prognosis of patients with multiple injuries is very favourable once the critically injured have survived the acute life threatening period. Five to six years after the accident 82% of the surviving patients with injuries of three or more body areas who needed intensive care are fully capable of work and are not receiving any financial compensation. In severe head injuries or in paraplegia, lethality during hospitalization is higher and late prognosis worse: nevertheless, five to six years after the accident 55% of these patients are working full time and do not receive any compensation.

Accidents↗
PubMed1981

[Prognostic value of EEG in acute posttraumatic coma (author's transl)].

To evaluate the prognostic power of a single EEG-record, the recordings of 50 patients with posttraumatic coma performed within 48 hours after the injury were compared with the outcome after 6 months. A 5-point scale comprising 2 EEG-patterns being notorious for their dismal prognostic significance (suppression bursts, alpha-coma) and changes of vigilance were used as a mean of visual assessment of the recordings. In 24 out of the 28 patients with a bad outcome, the EEG had shown the patterns of category I, II and III (suppression bursts, alpha coma, no changes of vigilance). Of the 22 patients with a good outcome, the EEG had been classified as IV or V (clearly discernible changes of vigilance, sleep patterns). Further findings of particular dismal prognostic significance were focal epileptic discharges, as 9 out of the 11 patients with this EEG pattern had not survived the posttraumatic coma for more than 6 months.

Adolescent↗
PubMed1981

The lung after trauma and shock--fine structure of the alveolar-capillary barrier in 23 autopsies.

We have examined the ultrastructure of the alveolar septa in the lungs of 23 victims of severe trauma and shock. In ten patients, who died within a week after trauma, protein-poor interstitial edema and fat emboli were the most constant ultrastructural change. The alveolar epithelium and the capillary endothelium were surprisingly devoid of morphologic evidence of injury. A high incidence of pneumonia and/or sepsis complicated the hospital course of patients surviving for longer periods of time. Ultrastructurally, the lungs of these patients showed variable degrees of injury to the alveolar epithelium and capillary endothelium and accumulation of protein-rich edema fluid in the extravascular spaces. The study suggests that most of the pulmonary pathologic lesions attributed to tissue trauma and shock are the consequence of systemic or local infections to which trauma patients are particularly susceptible.

Adolescent↗
PubMed1980

Arthroscopy in acute trauma of the knee joint.

Even in massive hemarthrosis, arthroscopy of the acutely injured knee joint can be performed. The procedure is indicated in all cases where clinical findings and radiography cannot establish a clear diagnosis or a clear indication for operation. Hemarthrosis of unknown origin should be investigated in every case. An additional indication for arthroscopy is planned arthroscopic operation. In a series of 1000 arthroscopies, the examination was performed in 76 patients in the acute stage after trauma. In most knee joints several injuries were found; the most frequent being tears of the menisci, cartilage lesions, ruptures of the anterior cruciate ligament and tears of the joint capsule. 24 cases were treated by arthroscopic operation: 13 partial meniscectomies were performed in acute blocking of the knee and in 8 cases a detached chondral or osteochondral fragment was removed. 29 cases required arthrotomy. Post-operative morbidity of arthroscopic operation is surprisingly low. Patients were not hospitalized for diagnostic or operative arthroscopy.

Cartilage, Articular↗
PubMed1980

[Arthroscopic partial meniscectomy].

Partial closed meniscectomy under arthroscopic control is feasible in bucket handle tears and in some cases of L-shaped or longitudinal meniscal lesions. The operation is performed in general anesthesia but without hospitalization of the patient. Postoperative morbidity in 18 patients was surprisingly low, 16 patients being without disturbances two weeks after surgery. Mean duration of working inability was 6.5 days. For the experienced arthroscopist, low costs and decreased morbidity compared to arthrotomy recommend this procedure in selected cases of meniscal lesions.

Adolescent↗