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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 10 (1995), S. 175-176 
    ISSN: 1437-9813
    Keywords: Cyclic neutropenia ; Clostridial myonecrosis ; Gas gangrene ; Clostridium septicum
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A patient with cyclic neutropenia suffered full-thickness loss of her right abdominal wall and thigh muscles from clostridial myonecrosis. No port of entry was definitely identified. The sepsis and myonecrotic process were controlled by resuscitative measures, extensive multisession debribement, and hyperbaric treatment.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 10 (1981), S. 215-218 
    ISSN: 1432-1998
    Keywords: Cerebral palsy ; Congenital dislocation of the hip ; Femoral neck angle ; Migration percentage
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Coverage of the femoral head by the acetabulum can be measured as a migration percentage in relation to the acetabular rim. In two series of radiographs from children with congenital dislocation and cerebral palsy it has been found that the difference between the coverage in neutral position and in internal rotation is so small that one a.-p. radiograph suffices for assessment.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    International orthopaedics 12 (1988), S. 75-78 
    ISSN: 1432-5195
    Keywords: Ultrasound ; Congenital disorders ; Hip
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé L'ultrasonographic a été utilisée parallélement à l'examen clinique pour le diagnostic et la surveillance du traitement de 48 nouveau-nés et nourrissons atteints de malformation congénitale de la hanche. L'ultrasonographie peut montrer la tête fémorale et ses rapports avec le cotyle avant que sa portion calcifiée ne soit radioopapque et prévient ainsi le danger d'irradiation. Cette technique peut également être réalisé chez des nourrissons porteurs d'attelles d'abduction ou de plâtres fenêtrés et vérifie la reposition d'une tête fémorale subluxée. L'ultrasonographie nous paraît être devenue un outil diagnostique et de surveillance de premiére importance chez les nourrissons atteints de malformation congénitale de la hanche, avant et aprés traitement.
    Notes: Summary Ultrasound was used, together with clinical examination, to help in the diagnosis and to evaluate the treatment of 48 babies with congenital disorders of the hip. The femoral head, and its relation to the acetabulum, can be demonstrated before it becomes visible on radiographs. Ionising radiation is avoided. Ultrasound scanning can be used to visualise the repositioning of the femoral head. It is also possible to examine babies on an abduction frame.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    International orthopaedics 15 (1991), S. 155-159 
    ISSN: 1432-5195
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Nous rapportons notre expérience de l'échographie dans la diagnostic des hanches douloureuses ou irritables. Les images ont été confrontées aux données cliniques, à l'évolution et aux autres techniques d'imagerie. L'échographie montre les structures anatomiques de la hanche, l'interligne articulaire et la capsule. Un élargissement notable de l'interligne, dû à l'épanchement progressif de liquide intraarticulaire, a été mis en évidence chez les malades présentant une poussée de synovite, une arthrite septique ou une ostéomyélite du col du fémur. L'échographie et la tomo-densitométrie semblent être les procédés les plus sûrs pour faire le diagnostic précoce de diverses lésions de la hanche. Les deux peuvent être répétés afin de suivre la progression clinique de la maladie. L'échographie a l'avantage d'être non-invasive, peu coûteuse, facile à utiliser et dénuée de tout risque de complication, notamment par irradation.
    Notes: Summary We report our use of linear sonography in evaluating painful and irritable hips. Images were correlated with the clinical course and outcome, and other methods of diagnostic imaging. Sonography demonstrated the anatomical structures of the hip, the joint space and capsule. A significant increase of joint space due to the progressive development of intra-articular fluid was found in patients with transient synovitis, septic arthritis and osteomyelitis of the femoral neck. Sonography and CT scanning appear to be the most reliable methods of making an early diagnosis of various hip disorders. Both allow serial examination for evaluating the patients' clinical progress. Sonography has the advantages of being noninvasive, cheap, easy to use, and devoid of irradiation or any other known complications.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    International orthopaedics 22 (1998), S. 185-188 
    ISSN: 1432-5195
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé. Chez les nouveau-nés, une hanche cliniquement instable peut être un signe de dysplasie de la hanche. Si cette affection n’est pas traitée à un très jeune âge, elle peut devenir dégénérative et entraîner un handicap fonctionnel considérable à l’âge adulte. C’est pour cette raison que le diagnostic précoce de l’instabilité de la hanche chez le nouveau-né est cruciale. Notre expérience se base sur des examens cliniques et ultrasonographiques effectués indépendamment sur 9199 nouveau-nés. Dans 0,8% des cas, une instabilité de la hanche a été diagnostiquée. Cependant, seulement 47,4% des hanches instables on été diagnostiquées grâce à l’examen clinique initial. Dans le reste des cas, la pathologie a étéétablie après que l’anormalité ait été reconnue grâce à l’examen sonographique. Similairement, mais dans un moins grand nombre de cas, la pathologie a été détectée après un nouvel examen sonographique dans 5% des cas après que le diagnostic clinique d’instabilité ait étéétabli. Nous tenons à mettre l’accent sur le fait que les examens cliniques et sonographiques combinés ont sensiblement amélioré la détection des nouveaux-nés présentant un haut risque de développer une dysplasie de la hanche.
    Notes: Summary. A clinically unstable hip in a new-born may be an early sign of congenital dysplasia. Unless followed and treated at a young age, it can progress to a degenerative hip joint disorder with considerable functional disability in adult life. For this reason, the early diagnosis of neonatal hip instability is crucial. We present our experience with 9199 neonates examined independently by clinical and ultrasonographic techniques. Instability was diagnosed in 0.8% of the hips. Only 47% of the unstable hips were diagnosed by the initial clinical examination, in the remainder the dysplasia was recognised only by sonography. Sonographic changes were also detected on re-examination in 6% of the unstable hips following the recognition of clinical instability. It is evident that combined clinical and ultrasonographic examination significantly improves the detection rate of dysplastic hips in new-borns.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1437-1596
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Law
    Notes: Summary The effect of mechanical asphyxia, caused by the complete obstruction of trachea, on some parameters of the blood coagulability and on the number of corpuscular elements in the blood, was studied in male rabbits. The mechanical asphyxia resulted already after 2.5 to 3.0 min in the significant shortening of the coagulation time, as well as of the prothrombin time, the recalcification time being unchanged. The number of thrombocytes, eosinophils was significantly diminished, the number of leucocytes and lymphocytes was on the contrary greater. The finding of the elevated coagulability of the blood during the acute phase of the mechanical asphyxia suggests, that the finding of the liquid blood in corpses, died for instance owing to strangulation is secondary, caused probably by the activation of the fibrinolysis. The adrenal hormones play in the origin of the above mentioned changes of the blood an important role, because after the bilateral adrenalectomy the mechanical asphyxia did not influence neither the coagulation time nor the prothrombin time. The number of lymphocytes and eosinophils did not change and the number of leucocytes was even lower. Adrenalectomy did not influence the reaction of thrombocytes on asphyxia.
    Type of Medium: Electronic Resource
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