[The Angelchik prosthesis in the treatment of hiatal hernia and gastro-esophageal reflux. Motives of a choice].
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Biomedical subjects
Publications and source records attributed to M Gioetto.
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More than 300 cases of Delirium Tremens have observed at the Department of Emergency Surgery of the Ospedale Delmati di S. Angelo Lodigiano (Milano) in patients affected with surgical trauma or surgically treated for acute disease. The pathogenetic mechanism and the main changes, peculiar of delirium tremens are described. Therapy has been considered on the ground of personal and others' experience. Two main groups can be distinguished: A causal therapy (detoxicant and hepatoprotective, antireactive and desensitizing) and a symptomatic therapy (analecties, sedation on central nervous system, modification of saline and hydroelectrolitic unbalance). The substances administered, the pathogenetic mechanism and the pharmacological properties are discussed. It is suggested that any schematism of the therapeutical approach is unwarranted, either if one considers as preminent a given pathogenetic factor or if a complex therapy is instituted, to comprehend all the pathogenetic possibilities, by undiscriminated use of different type of agents.
Following a short introduction on the value of ocular symptoms in traumatized patients based upon the literature, the A. describes his case material comprising 10 cases of severe cranial-encephalic traumatisms with coma. According to the A., the investigation in patients with cranial traumatisms in coma of the reflex eye motility (research of statokynetic movements) and of the movements obtained by vestibular stimulation with cold water offers useful elements for localization of the lesion and for prognosis.
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