RESUMEN
Upper gastrointestinal bleeding is still a subject much discussed as much for the diagnostic approach and as by the therapeutic decisions read. The authors present their experience of the treatment of upper gastrointestinal bleeding not caused by portal hypertension or by neoplasm. The patients undergo emergency endoscopy by haemostatic treatment if necessary and pharmacological therapy by omeprazole. The evaluation criteria are: stopped bleeding, the need of blood transfusion, the healing of the bleeding site. Stopped bleeding has been watched at first endoscopic check in 85% of patients; only 26 blood units has been necessary; the complete healing of bleeding injury happened not later than 30 days.
Asunto(s)
Endoscopía Gastrointestinal , Hemorragia Gastrointestinal/terapia , Omeprazol/uso terapéutico , Adulto , Anciano , Anciano de 80 o más Años , Terapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
This study evaluates the efficacy and tolerance of a complete preparation for TPN, "Trive 1000" consisting of an emulsion of lipids, amino acids and sorbitol, balanced in the substratum with a caloric water ratio of 1 cal/1 ml. The preparation offers sterility and simplicities of use guarantee. 20 patients, subjected to major digestive surgery, were treated. The valuation of the product has been effected through nourishing index of common use and by checking of side effects. The results confirm the handling and the tolerance of "Trive 1000" although in hepatic and nephropathic patients the solution must be used with caution.
Asunto(s)
Procedimientos Quirúrgicos del Sistema Digestivo , Nutrición Parenteral Total , Anciano , Anciano de 80 o más Años , Aminoácidos/uso terapéutico , Carbohidratos de la Dieta/uso terapéutico , Grasas de la Dieta/uso terapéutico , Combinación de Medicamentos , Evaluación de Medicamentos , Tolerancia a Medicamentos , Femenino , Alimentos Formulados , Humanos , Masculino , Persona de Mediana Edad , Fenómenos Fisiológicos de la Nutrición , Cuidados Posoperatorios , Cuidados PreoperatoriosRESUMEN
The authors report their experience with the use of picotamide monohydrate for the prophylaxis of lower limb deep vein thrombosis in patients submitted to general surgery. Thirty-two patients were treated with the drug starting with 1200 mg daily three days before surgery and tapering to 900 mg daily in the postoperative period. The efficacy of the drug was found to be comparable to that of other currently used treatments and was not beset by a significant incidence of side effects.
Asunto(s)
Ácidos Ftálicos/uso terapéutico , Complicaciones Posoperatorias/prevención & control , Tromboflebitis/prevención & control , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de RiesgoAsunto(s)
Hernia Diafragmática Traumática/diagnóstico , Accidentes Domésticos , Accidentes de Tránsito , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Hernia Diafragmática Traumática/complicaciones , Hernia Diafragmática Traumática/etiología , Hernia Diafragmática Traumática/cirugía , Humanos , Persona de Mediana Edad , Factores de TiempoRESUMEN
The Authors report an observation of glomic tumour of fingers in a man aged 68. After a reviewing of the literature thereabout, they dwell upon the rareness of this disease and upon its main clinical manifestations. The angiographic study completed is remarkable. The Authors, as a conclusion, confirm the need of a surgical treatment.