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Biomedical subjects

A B Hancke

Publications and source records attributed to A B Hancke.

5 recordsLinked to original sources

Acute epiglottitis. A management protocol based on a 15-year material.

During a 15-year period 141 patients were treated for acute epiglottitis. 70 of the patients needed an artificial airway which was established by means of nasotracheal intubation. The mean intubation time was 41 h. All patients except 1, who suffocated before a free airway could be established, were discharged from the hospital without any serious sequelae. A follow-up study revealed no serious physical or psychological damage caused by the intubation treatment. On the basis of our 15-year material and the literature a protocol for the handling of patients suspected for acute epiglottitis is presented.

Acute Disease↗

Screening tympanometry during the first year of life.

150 healthy children were regularly investigated with tympanometry during the first year of life. Normal middle ear pressure was found in nearly all children at birth. At the age of 6 months, 62% of the ears had a pressure of 0-99 mmH2O. In 37% the pressure was between -100 and -350 mmH2O and 1% had flat curves. At the age of 9 months, the tympanograms further deteriorated and at 12 months, only 40% of the ears had a pressure of 0 to -99 mmH2O, 28% had a pressure of -100 to -199 mmH2O, 19% a pressure of -200 to -350 mmH2O and 13% had flat curves, indicating secretory otitis. At 1 year, the tympanograms were worse than in any other age group investigated so far. The dominant cause of the reduced middle ear ventilation was catarrhalia, the frequency of which increased during the period from 6 to 12 months.

Acoustic Impedance Tests↗

Yersinia enterocolitica infection in patients with acute surgical abdominal disease. A prospective study.

The rate of yersiniosis in patients with acute abdominal disease was studied in a 16-month prospective investigation in 1972-1973 of 205 acutely ill patients referred to a surgical clinic of a Copenhagen City hospital with complaints of abdominal pain suggestive of appendicitis. Yersinia enterocolitica, biotype 4, was isolated from 11 patients (5.4%), 8 of whom were children. Yersinia was grown from faeces in 8 cases and from appendix of all 9 patients operated upon. Rising or falling agglutinin titres larger than or equal to 100, indicative of yersiniosis, were found in 22 patients (10.7%) including all bacteriologically verified cases. Eight additional patients (3.9%) had less significant titres larger than or equal to 100, suggestive of recent or present infection. 28 patients (13.7%) had insignificant titres, including 3 with antibodies against serotype 9. In all cases except these 3, antibodies were against Y. enterocolitica, serotype 3. A differential diagnosis between Y. enterocolitica infection and other types of appendicitis could not be made within this highly selected group of patients using available clinical data. All cases were rather mild and self-limiting. It is suggested that in future epidemiological and other studies of yersiniosis, early bacteriological and serological examinations be carried out.

Abdomen, Acute↗