[An unusual case of gas gangrene of the neck].
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Biomedical subjects
Publications and source records attributed to V Lederer.
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The author describes the circumstances and causes of the late detection and extraction of a large foreign body in the oesophagus. He emphasizes the importance of the case-history.
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An intravenous bolus of betamethasone, at an approximate dosage of 3 mg/kg, was administered to 20 patients with septic shock. Treatment was repeated every four to six hours for periods ranging from 18 to 64 hours. Concomitant therapy included antibiotics in all patients and surgery in 10 patients. An additional patient underwent surgery after the conclusion of therapy. Clinical improvement was apparent within four hours after initiation of study medication in 14 (70%) patients. In the remaining six patients, improvement was observed no later than eight hours after the initial dose of the study agent. Reversal of shock was achieved in all patients, at which time treatment was discontinued. Tolerance to the study medication was excellent. No local or systemic adverse effects occurred.
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Very frequently in acute and chronic pancreatitis, the surgical treatment is indispensable. The disease itself is accompanied by metabolic disturbances, protein deficiency, hepatic lesion, by diabetes and malabsorption syndrome. Following the laboratory parameters we were able to perform partial or total hyperalimentation, correction of acid-base dis-equilibrium and to obtain the positive nitrogen balance, and in this way keep the patients in optimal conditions pre- and postoperatively.
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