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Biomedical subjects

A Huzly

Publications and source records attributed to A Huzly.

At least 19 recordsLinked to original sources

[Parietal pleurectomy in pleural cancer].

Exudative pleural carcinosis may remain the only localisation of generalized disease for months. Exudation and total distension of the lung must be prevented. Since sclerosis is not effective in cases of tapered lung, parietal pleurectomy and decortication are indicated. This ensures patient survival and fitness for work for several years.

Breast Neoplasms

Side effects of endobronchial laser treatment.

Side effects that have occurred in over 250 endobronchial laser treatments are reported. The laser has been used in severe tracheal and in bronchial obstructions. In two cases significant bleeding had to be treated with tamponade. In one patient an emphysema of the mediastinum developed, in 2 further patients a small pneumothorax. Perforation of the airway was not detected and no special treatment was necessary. Three patients with life-threatening tracheal stenoses and one patient with severe stenosis of both the mainstem bronchi due to metastasis in the bifurcation lymph node had a large defect in the tracheal or bronchial wall with a deep necrosis five to twelve weeks after laser treatment; all these patients had extensive radiotherapy in addition. One patient died due to severe respiratory insufficiency, probably caused by smoke intoxication. After the laser treatment, rubber-like fibrin-rich plaques may develop, which can lead to life-threatening obstructions of the airway. It is recommended that laser bronchoscopy should be performed with the rigid bronchoscope. After treatment of tracheal lesion an endoscopic check must be performed within 24 hours. The combination of laser treatment and radiotherapy seems to involve a certain risk of large defects in the bronchial wall due to necrosis of the tumour.

Aged

[Trachea and main bronchi in thoracal trauma (author's transl)].

On the whole, only few lesions of the trachea and main bronchi are amenable to treatment. The ideal treatment is that which is applied immediately in so far as successful management of the acute shock has been achieved. Reluctance to effect mechanical stabilisation of the thoracic wall by means of wires or metal plates, has been fortunately abandoned. The increased application of fibre bronchoscopy by surgical intensive-care units, or regular consultation of a bronchologist or thoracic surgeon, has improved chances of earlier detection of any serious lesion of the main respiratory tract. Lesions of the parenchyma are important and significant only to the extent as they can become serious or insurmountable obstacles during immediate dressing and final surgical treatment if they are present side by side with a lesion of the trachea or of the main bronchi.

Accidents, Traffic

[Angiography of the bronchial arteries in lung disease (author's transl)].

Anatomical basis and method of selective angiography of the bronchial arteries are described. Selective vascular angiograms of different lung diseases are different in appearance but are not always specific. Bronchial-arteriograms of the following diseases are demonstrated: tumors, inflammations, bronchiectasis, cystic lungs diseases and angiomatous changes of the vessel. Key features common to all investigated cases are: 1. Increased flow with dilatation of the afferent bronchial artery. 2. Bronchialangiography is more effective in defining the extensions of the hypervascularized lung diseases than other conventional diagnostic methods. 3. In all our cases we have observed arterial bronchopulmonary anastomoses which seem to be a significant cause for hemoptysis occurring during the course of the disease.

Adult

[Diagnostic and therapeutic applications of bronchoscopy (author's transl)].

The development of therapeutic bronchoscopy into diagnostic bronchoscopy is described. Based on a personal experience of more than 35,000 bronchoscopies, attention is given to some important points in diagnosis and therapy. In diagnosis, these factors include: 1) color of mucosa, 2) structure of cartilage, 3) minimal tissue changes (nodules, vessels, folds), 4) tonus, 5) secretion, 6) miscellaneous peculiarities. Therapeutic studies involve: 1) recanalisation (from secretion to foreign body and tumor), 2) scrubbing (in treatment of fibrinous bronchitis and tracheitis, 3) bougies, 4) irrigation, 5) washing (for status asthmaticus, aspiration of gastric contents, etc.), 6) tamponade for persistent hemoptysis.

Bronchial Diseases

[Angiomas and angioma-like changes of the bronchial arteries (author's transl)].

Hyperplastic changes of the bronchial arteries may take the form of a racemose arteriovenous angioma or result from chronic bronchitis. Clinically, recurrent haemoptysis is a striking feature occurring in otherwise fit patients. The two forms can be distinguished by bronchial arteriography because of the difference in the appearance of the vessels. In the one condition there are circumscribed areas of arterial and venous, vascular abnormalities, in the other there is vascular hyperplasia, which is less clearly circumscribed. In both forms, broncho-pulmonary, i.e. arterio-venous anastomoses can be demonstrated; these may be considered as the cause of the haemoptyses.

Adult