RESUMEN
A random comparison of early mobilization and chest physiotherapy (mainly breathing exercises) with or without bronchodilatating inhalations for prophylaxis against pulmonary complications in patients undergoing elective gall-bladder surgery is presented. The operation was performed with a subcostal incision and peroperatively, intercostal nerve block was administered. Preoperative pulmonary status (dynamic volume spirometry, peak expiratory flow rate, arterial blood gas analysis) showed no differences between the groups, and postoperative blood gas analysis and pulmonary X-ray or evident clinical findings did also not show any differences between the groups. Thus early mobilization was as effective in our study as the other prophylactic treatments. In patients without pulmonary disease perhaps early mobilization and efficient analgesia after surgery is as effective as more resource demanding physiotherapy for prophylaxis against postoperative pulmonary complications.
Asunto(s)
Colecistectomía , Enfermedades Pulmonares/prevención & control , Complicaciones Posoperatorias/prevención & control , Anciano , Análisis de los Gases de la Sangre , Ejercicios Respiratorios , Broncodilatadores/uso terapéutico , Ambulación Precoz , Femenino , Humanos , Masculino , Persona de Mediana Edad , Dolor Postoperatorio/tratamiento farmacológico , Distribución Aleatoria , Pruebas de Función RespiratoriaRESUMEN
After-exercise thermography (AET) has been claimed to be a means of detecting deep venous insufficiency. The question was studied in 167 patients four to five years after major surgery. The tests af follow-up included AET, strain-gauge plethysmography and venous pressure measurements in addition to clinical examination and a questionnaire concerning history, symptoms etc. No correlation was found between abnormal AET and objective manifestations of deep venous insufficiency.
Asunto(s)
Pletismografía , Termografía/métodos , Tromboflebitis/diagnóstico , Anciano , Estudios de Seguimiento , Humanos , Esfuerzo FísicoRESUMEN
A total of 112 patients participated in a prospective study of after-exercise thermography as a screening method for predicting risk of postoperative deep venous thrombosis. The fibrinogen-uptake test was used to detect thrombosis after elective surgery. The incidence of the complication showed no significant difference between patients who had had positive and those who had had negative thermograms. Thermography does not seem to be useful for predicting risk of postoperative thrombosis.
Asunto(s)
Termografía , Tromboflebitis/diagnóstico , Anciano , Femenino , Fibrinógeno/metabolismo , Humanos , Masculino , Persona de Mediana Edad , Esfuerzo Físico , Complicaciones Posoperatorias/diagnóstico , Estudios Prospectivos , RiesgoAsunto(s)
Enfermedades Pulmonares/prevención & control , Modalidades de Fisioterapia , Complicaciones Posoperatorias/prevención & control , Adolescente , Adulto , Anciano , Colecistectomía , Femenino , Humanos , Enfermedades Pulmonares/etiología , Masculino , Persona de Mediana Edad , Estudios Prospectivos , RespiraciónRESUMEN
Cholecystokinin stimulates persistalsis in the small intestine. This can be exploited to improve the technique for radiographic small bowel examination. Cholecystokinin usually reduces the barium transit time to less than 5 min. In our opinion, based on experience with 100 patients, the examination is not only accelerated but also improved in its diagnostic results, mainly because it is possible to perform the whole procedure under fluoroscopic control.
Asunto(s)
Colecistoquinina , Intestino Delgado/diagnóstico por imagen , Sulfato de Bario , Fluoroscopía , Motilidad Gastrointestinal/efectos de los fármacos , Humanos , Inyecciones Intravenosas , Factores de TiempoRESUMEN
A long-time follow-up of 43 patients with minor or intermediate degree blunt renal injuries is presented. A low incidence of complications, including hypertonia, calculi, and infections, was noted, but in three patients, the function of the injured kidney was affected, and two of these also had structural abnormalities as demonstrated by urography. It is recommended that the follow-up of patients with blunt renal injuries should include both urography and renography.