Asunto(s)
Carcinoma de Células Escamosas/cirugía , Músculos Intercostales/trasplante , Periostio/trasplante , Neoplasias de la Tráquea/cirugía , Trasplante Autólogo , Broncoscopía , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/patología , Humanos , Masculino , Persona de Mediana Edad , Metástasis de la Neoplasia , Complicaciones Posoperatorias , Nervios Torácicos/trasplante , Neoplasias de la Tráquea/diagnóstico , Neoplasias de la Tráquea/patologíaAsunto(s)
Aire , Drenaje/efectos adversos , Neumotórax/terapia , Edema Pulmonar/etiología , Punciones/efectos adversos , Enfermedad Aguda , Adulto , Bronquios/fisiopatología , Humanos , Masculino , Pleura/fisiopatología , Neumotórax/complicaciones , Neumotórax/fisiopatología , Presión , Edema Pulmonar/fisiopatología , Edema Pulmonar/prevención & controlAsunto(s)
Bazo/cirugía , Corticoesteroides/sangre , Glándulas Suprarrenales/irrigación sanguínea , Glándulas Suprarrenales/efectos de los fármacos , Glándulas Suprarrenales/fisiología , Glándulas Suprarrenales/trasplante , Hormona Adrenocorticotrópica/farmacología , Animales , Perros , Femenino , Circulación Hepática/fisiología , Masculino , Métodos , Trasplante AutólogoRESUMEN
1-Of 103 autopsies performed on lepers at the Board of Health Laboratory, Gorgas Hospital, Ancon, Canal Zone, between the years 1904-1941, 79 were on males and 24 on females. Although half of the patients were found in the cities of Panama and Colon, the evidence suggests that many cases were imported from Jamaica and Barbados. Foci of leprosy probably exist in the provinces of Los santos and Bocas del Toro. 2- The average age of recorded onset of leprosy was 36.7 years; the average age of death was 47.1. The most frequent "first symptoms" were nodules of the face and ulcers of the feet. 3- The pathologic changes in all the organs were listed systematically. Some of the findings worthy of comment are: a) Leprosy affected the nasopharynx or upper or outer portion of the upper respiratory system, whereas tuberculosis affected the larynx and trachea or lower portion of the upper respiratory system. b) A high incidence of cirrhosis of the liver. c) A hight incidence of gallstones. d) A high incidence of nephritis, especially glomerulonephritis. 4- The final causes of death were, in the order of numerical importance; tuberculosis, nephritis, leprosy and heart disease.