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Biomedical subjects

K Solheim

Publications and source records attributed to K Solheim.

At least 145 records · Page 8Linked to original sources

Splenic injury--a prospective multicentre diagnostic study.

One hundred and forty-seven patients with splenic injury were entered in a prospective multicentre study including 18 hospitals. The diagnosis was made by scintigraphy in 55 patients, ultrasonography in 51 and computed axial tomography in 31. Exploratory laparotomy was performed in 52 patients, in 23 of these after a positive peritoneal lavage. Splenic injury was found in 33 per cent of the ultrasound examinations, indicated in another 20 per cent and not indicated in 16 per cent. In 31 per cent increased intraperitoneal effusion was the only finding. There was a tendency towards an underestimation of the injury by ultrasonography. Peritoneal lavage was positive in all examinations.

Adolescent↗

Spontaneous pneumothorax.

Spontaneous pneumothorax is not uncommon and can be potentially dangerous, especially in older people. A series of 201 patients is presented. Conservative treatment with tube thoracostomy had a 19% failure rate. It seems nevertheless to be the treatment of choice, though with risk of serious complications. Among the 60 patients who underwent lateral thoracotomy, 30% had recurrence of pneumothorax or other complications. Reoperation because of inadequate pulmonary expansion was necessary in four cases.

Adolescent↗

[Splenosis].

Explore the source record for details and available documents.

Choristoma↗

Operative treatment of complications of pancreatitis.

Fifteen patients who developed serious complications from pancreatitis, were treated operatively with one post-operative (cardiac) death. Pancreatic tail resection and cyst exstirpation were used in 6 patients, and pancreatic resection and pancreatic jejunostomy in four. An aggressive diagnostic approach using early ERCP and CT, as well as a persistent operative treatment are highly recommended.

Adult↗

Abdominal aortic reconstruction. Prognostic importance of coexistent diseases.

In 109 patients who underwent abdominal aortic reconstruction, the importance of preoperative complicating factors was retrospectively studied. High age at operation, presence of coronary heart disease, heart failure, hypertension, chronic pulmonary disease and renal failure, heavy smoking and alcoholism were among the investigated factors. A simple preoperative risk score was defined, based on the number of such complicating factors present in each case. Although the operation was technically uncomplicated in all 109 patients, 15 required intensive care for more than 4 days and seven died. Morbidity and mortality were heightened in cases with more than three risk factors. Coronary heart disease and renal failure were the most important risk factors.

Aged↗