CATECHISM SERIES.—SURGERY (Fifth Edition)
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چکیده
The frequencv of commloni d(luct stone has been estimate(l as eighteen per cent. of all gallstone cases. Pre-operative treatmwent in comuition1 duilct obstruction.-Delay operation one or two weeks. WVater, salt, sugar, and blood are the chief needs; these can be given intravenously as glucose saline and blood transfuLsionl. Calcium gluconate and vitamin K tend to redluce bleedling. and gas and oxygen. Limit the technique to the minimuLm, ancd in the most severe cases one should merely drain the common duct and leave the removal of the stone to a later date. Post-operative.-Ten per cent CO2 in oxygen during four deep breaths, repeated four times an hour during the first twenty-four hours, diminishes the tendency to lung collapse. FOLLOW-UP. I am much indebted to Miss Gough and her assistants for the follow-up of one's gall-bladder operations during the period 1935 to 1939. The following results were obtained :-Good recovery 38, improved 14, still under treatment 12, dead 8, untraced 30. Three of the dead were over 70. The untraced may have changed their address or may be dead, but of the seventy-two traced-72 per cent. show a good result, seventeen per cent. a poor result, eleven per cent. dead. Many of the patients wrote enthusiastic letters as to the benefits of. the operation, and several enclosed a one pound note as a subscription to the hospital.
منابع مشابه
Catechism Series
burgh : E. and S. Livingstone. Price 1 Is. net each. We have received copies of the second revised and enlarged edition of these useful little summaries. As is well known these little books are in the form of question and answer. In older days students used to make similar summaries from text-books in their own note-books, but this catechism series presents the student with such summaries ready...
متن کاملLivingstone's Catechism Series
ssen in the few pages, with illustrations devoted to the deformities and remedies for the conditions known as hare-lip and cleft palate. Part IV, Surgery, deals with affections of the abdominal wall and the peritoneum, the genito-urinary system, kidneys, prostates penis, testis, urethra, gallbladder, pancreas, and spleen. The sections on the gall-bladder and pancreas are wonderfully complete. T...
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عنوان ژورنال:
- The Ulster Medical Journal
دوره 12 شماره
صفحات -
تاریخ انتشار 1943