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A.M.A. archives of surgery最新文献

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Recent advancements in the treatment of peripheral arterial embolism. 外周动脉栓塞治疗的最新进展。
Pub Date : 1959-08-01 DOI: 10.1001/archsurg.1959.04320080121014
R J KRAUSE, J J CRANLEY, L M BAYLON, E S STRASSER
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引用次数: 9
The pathologic significance of the serum amylase concentration; an evaluation with special reference to pancreatitis and biliary lithiasis. 血清淀粉酶浓度的病理意义;胰腺炎和胆道结石的特别评价。
Pub Date : 1959-08-01 DOI: 10.1001/archsurg.1959.04320080147017
H R BERNARD, J R CRISCIONE, C A MOYER
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引用次数: 20
Subtotal reconstruction of the thumb; tubed-pedicle flaps with tactile restoration. 拇指次全重建;管状蒂皮瓣与触觉恢复。
Pub Date : 1959-08-01 DOI: 10.1097/00006534-195908000-00021
A. P. Kelly
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引用次数: 0
Bacterial studies in irreversible hemorrhagic shock. 不可逆失血性休克的细菌研究。
Pub Date : 1959-08-01 DOI: 10.1001/archsurg.1959.04320080021003
W R CULBERTSON, W ELSTUN, W COLE, W A ALTEMEIER
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引用次数: 0
The kidneys in surgery of the abdominal aorta. 腹主动脉手术中的肾脏。
Pub Date : 1959-08-01 DOI: 10.1001/archsurg.1959.04320080088011
D E SZILAGYI, R F SMITH, J G WHITCOMB
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引用次数: 0
The diseased cystic duct remnant. 病变的囊管残余。
Pub Date : 1959-08-01 DOI: 10.1001/archsurg.1959.04320080140016
M J BROWN
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引用次数: 0
Pseudomembranous enterocolitis; the experimental induction of the disease with Staphylococcus aureus and its enterotoxin. Pseudomembranous小肠结肠炎;用金黄色葡萄球菌及其肠毒素诱导疾病的实验。
Pub Date : 1959-08-01 DOI: 10.1001/ARCHSURG.1959.04320080033005
J. Prohaska
The objection to Staphylococcus var. aureus (Micrococcus pyogenes) as the etiologic agent of pseudomembranous enteritis stems from the observation that Staphylococcus has not been isolated in every case of the disease and from the assumption that the physical changes observed in the intestine are secondary to the associated shock. These objections are without foundation. S. aureus does not grow out on every culture medium. In a mixed flora it fails to grow out at all, unless the culture medium favors its growth and suppresses the competing micro-organism. Referring physicians have told me repeatedly that the stool cultures of their patients, desperately sick with pseudomembranous enterocolitis, did not grow out staphylococci. Upon culturing the stools of these patients on proper media the staphylococci grew out in dominant Proportions. The oral administration of staphylococci to monkeys, animals highly sensitive to the enterotoxin, does not make them sick and does not induce stools
反对将金黄色葡萄球菌(化脓性微球菌)作为假膜性肠炎的病原,是因为观察到并非在所有病例中都分离出葡萄球菌,并且假设在肠道中观察到的物理变化是继发于相关的休克。这些反对意见毫无根据。金黄色葡萄球菌并不是在每种培养基上都能生长出来。在混合菌群中,它根本长不出来,除非培养基有利于它的生长并抑制与之竞争的微生物。转诊医生反复告诉我,他们的病人的粪便培养,假膜性小肠结肠炎的绝望,没有生长出葡萄球菌。在适当培养基上培养这些患者的粪便时,葡萄球菌以优势比例生长。对猴子这种对肠毒素高度敏感的动物口服葡萄球菌不会使它们生病,也不会引起大便
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引用次数: 26
Potential dangers associated with antibiotic administration during anesthesia and surgery. 麻醉和手术期间抗生素使用的潜在危险。
Pub Date : 1959-08-01 DOI: 10.1097/00006534-195911000-00028
C. Pittinger, J. P. Long
Antibiotic administration during surgery may be associated with hazards not normally encountered in unanesthetized subjects. We submit this contention on the bases of recent evidences in the literature and our laboratory investigations stimulated by clinical experiences. The potential dangers are not those usually associated with prolonged or repeated administration of these drugs, such as allergic responses, blood dyscrasias, nephro- and ototoxic phenomena, but rather acute states of respiratory or circulatory depression. A drug may be therapeutic under usual circumstances of administration and toxic when altered conditions prevail. The patient during surgery is indeed different from an unanesthetized subject. A number of factors could conceivably affect his response to a drug. Anesthesia poses the possibility of drug interaction with a variety of agents used for that purpose. Changes in concentrations of circulating hormones in response to surgical stress and anesthesia may modify the effect of exogenous agents. Hemodynamic changes such as
手术期间抗生素的使用可能与未麻醉受试者通常不会遇到的危险有关。我们提出这一论点的基础上,最近的证据在文献和我们的实验室调查刺激的临床经验。潜在的危险不是那些通常与长时间或重复使用这些药物相关的危险,如过敏反应、血液不良、肾和耳毒性现象,而是急性呼吸或循环抑制状态。一种药物在通常给药的情况下可能是治疗性的,而在改变了的情况下可能是毒性的。手术中的病人确实不同于未麻醉的病人。很多因素都可能影响他对药物的反应。麻醉有可能与用于麻醉目的的各种药物相互作用。手术应激和麻醉下循环激素浓度的变化可能会改变外源性药物的作用。血流动力学改变,如
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引用次数: 29
Experimental hemorrhage; prediction of mortality following acute measured hemorrhage in the dog. 实验性出血;预测狗急性出血后的死亡率。
Pub Date : 1959-08-01
H SWAN, J BLAVIER, T MARCHIORO, D JENKINS, V MONTGOMERY
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引用次数: 0
Carotid artery occlusion. 颈动脉闭塞。
Pub Date : 1959-08-01 DOI: 10.1001/archsurg.1959.04320080112013
H M SMATHERS, W M SMATHERS
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引用次数: 5
期刊
A.M.A. archives of surgery
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