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N Jung

Publications and source records attributed to N Jung.

34 records · Page 2Linked to original sources
PubMed1980

[Basic disturbances and extra-renal complications - prognosis determining factors in acute renal failure].

The author adopts a definite attitude to the prognosis of acute renal failure, based on the experiences of 410 peritoneal dialyses and 168 haemodialyses in 165 patients. In a total lethality of 51% there is no relation between the choice of the technique of dialysis and lethality. The changes of survival are mainly determined by the causal disease and its extrarenal complications. The worst prognosis have patients with a breakdown of other vital functions besides renal failure. The possibility of the alternative treatment haemodialysis/peritoneal dialysis should always be given.

Acute Kidney Injury↗
PubMed1980

[Clinical chemistry parameters in continuous peritoneal dialysis].

The continuous peritoneal dialysis (CAPD) is with four or five change of 1 1/2-2 l dialysis solution a day a 24 hours/day and 7 days/week dialysis. In 6 patients with terminal renal insufficiency the behaviour of biochemical parameters which serve as acknowledged indicators for the efficiency of a dialysis technique, were pursued under this method more than 4 weeks. At the end of the treatment period the following average values came up: creatinine 9.0 mg/dl, urea-N 65 mg/dl, anorganic phosphate 4.8 mg/dl (without Al-hydroxide), potassium 4.3 mval/l, calcium 4.1 mval/l and a pH-value of 7.35. The results allow the conclusion that with the CAPD a sufficient elimination of retention products is possible and values in the suburaemic region may be achieved similar to the conditions in the intermittent dialytic technique. Conclusions concerning a broad application of the technique in the terminal renal insufficiency may, however, not be made alone from these observations, since the problems of relapsing peritonitis and of the chronic loss of protein known from literature did not yet play a role in our patients in the short observation period.

Adult↗
PubMed1980

[Acute dialysis treatment of urologic patients].

51 urologic patients were dialyzed following acute indications during 1968-77. The 47 adults were 31-81 (average 59) years old. Due to the frequency of occurrence the predominant diseases were: Urolithiasis (combined with pyonephrosis, urosepsis, nephrocirrhosis), malignant tumors, and bladder neck adenomas. 18 patients were postoperative cases. 32 patients suffered from severe diseases or complications outside the urogenital tract. According to a differentiation of three risk groups, there were 33 patients belonging to the most severe group III. The patients' admission to the dialysis unit was late in most cases: 13 patients were already in coma or precoma, 18 patients overhydrated, 11 patients' serum potassium was more than 7 mval/1,28 patients' serum creatinine was more than 10 mg/dl. A prophylactic dialysis was possible in 11 cases only. We have accepted all 51 acute urologic patients, admitted to our clinic, for dialysis treatment. Peritoneal dialysis was performed in all 51 patients, only in 6 of them this treatment was followed by haemodialyses. The reasons for prefering peritoneal dialysis were haemorrhages or the danger of haemorrhages, a critical cardiovascular state, or an extreme acotaemia. In 143 peritoneal dialyses with 91 insertions of stilet catheters, one perforation of the small intestine occurred. The patient survived the resulting peritonitis. 13 of 15 patients with this indication got into an operable state in the course of dialysis treatment. Lethality of 61 per cent (31 of the 51 patients died) was related to the severity of the basic urologic disease. 4 of these latter patients could have been admitted to a regular dialysis treatment. In further 6 cases this would have been possible after a special urologic treatment.

Adenoma↗
PubMed1980

[Detection of antibody-coated bacteria and cylinders in urinary sediment from patients with indwelling catheters].

In 34 patients without pre-existing infection of the urinary tract mostly a few days after insertion of an indwelling catheter a bacteriuria with 10(5) germs per ml urine developed. In 24 patients from the moment of the first proof of bacteriuria up to the removal of the catheter 1 to 10 days passed away. During this time in 6 patients a cylindruria, in no case, however, an antibody-coat of the bacteria could be established. In 10 patients who carried the catheter for a longer time, the excretion of antibody-coated germs in the urine began 11 to 18 days after the first proof of bacteriuria. A cylindruria was observed in 9 of these patients. Altogether the proof of cylinders in the early phase of the renal infection was more sensitive than that of antibody-coated bacteria in the urine. The probability of a provable participation of the kidneys in catheter-conditioned infections of the urinary tract consequently increases with increasing period of indwelling of the catheter.

Adolescent↗
PubMed1978

[Lactacidosis in guanide treatment--a current disease syndrome].

It is reported on two eldery female diabetics with severe lethal lactacidosis. The clinical picture as well as the laboratory constellation leave no room for doubt about it, though only in one case the estimation of lactate could be performed. A renal insufficiency as involving factor is to be supposed in the two cases. With the help of literature the essential points of view of the clinical picture are discussed and it is referred to its origin also under influence of buformin.

Acidosis↗
PubMed1978

[Renal potassium-loss syndrome as origin of extreme hypokalemia].

Case report on a 35-year-old female patient with life-threatening respiratory insufficiency in extreme hypopotassemia with unclear genesis. A simultaneously existing systemic acidosis and alkaline urine render a secondary tubular acidosis as a sequel of a symptom-poor chronic pyelonephritis probable. Ascertainment by ammonium chloride load. Discussion of the most essential causes of a hypotassemia and emphasizing of a consequent antibiotic sanation also of asymptomatic bacteriurias. It is referred to the necessity of a highly dosed long-term potassium substitution.

Acidosis, Renal Tubular↗
PubMed1978

[A case of Klippel-Trenaunay syndrome].

The case of a 33-year-old woman suffering from the Klippel-Trenaunay-syndrome which belongs to the syndromes of dysplasia is discussed. The cases in question is an anaeviformous variant. Apart from this there exists a renal hypoplasia which is to be seen within the Klippel-Trenaunay-syndrome. This renal hypoplasia has led to a terminal renal insufficiency and has made necessary a chronic haemodialytic treatment.

Adult↗
PubMed1976

[Increased insulin-sensitivity as a 1st indication of Addison's disease in a juvenile diabetic patient].

Case report on a 25-year-old patient with diabetes mellitus which is difficult to be controlled. Relapsing vomitting, loss of body-weight, retention of substances normally contained in the urine, hyperpotassaemia, hypernatraemia as well as an increased insulin sensitivity render an additionally existing morbus Addison probable. Confirmation by means of the determination of the Porter-Silver chromogenes. It is referred to the apparantly frequently not understood syntropy in diabetes mellitus and Addison's disease. An autoimmunological process is discussed.

Addison Disease↗
PubMed1975

[Immature-cell leukosis as a chance finding].

It is reported on a 35-year-old man in whom by chance was made the diagnosis of an undifferentiated cell leucosis during a routine investigation of the blood before an haemorrhoidectomy. In a number of leucozytes of 234.000/mul 96% of paraleucoblasts were found. Haemoglobin and thrombozytes were normal. Cytochemically a lymphoblast leucosis was concerned. By means of a cytostatic combination therapy (ViDaP-scheme) the clinically latent leucosis was brought into a very good partial remission. A recidivation appearing five month later led in form of a haemorrhagic diathesis to the first symptoms recognizable for the patient.

Adult↗
PubMedDate not supplied

Preparation and investigation of inclusion complexes containing nitrazepam.

Nitrazepam is a valuable drug, being one of the often used minor tranquillizers in psychotherapy. However, its solubility characteristics are very unfavourable. Products were prepared with dimethyl-beta-cyclodextrin in different combinations (8.58%, 19.48% and 27.29%) and by several methods such as mixing, kneading, precipitation and spray-drying.

Cyclodextrins↗