Langenbecks Archiv für Chirurgie
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There is a great difference in the internal fixation of infant and adult fractures. Biological and anatomical pecularities in childhood make it possible for lingitudinal growth to be impaired by the implanted material, its size, its topographic relationship to the growth organ and the duration of implantation. ⋯ Various ASIF techniques, such as Kirschner wiring, screwing, and fixation with plates, are suitable. Medullary nailing (Küntscher) should not be used in children.
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Langenbecks Arch Chir · Nov 1976
[Hospital infection during postoperative intensive care (author's transl)].
Since 1970 all postoperative bacteriological findings recorded in surgical patients have been analyzed and compared with the postoperative course. There are also regular checks of bacterial invasion in the operating suites and in the intensive care units. By such means as systems of double lock for personnel and equipment, regular surface disinfection, frequent hand disinfection, cleaning of the respirators with antiseptics, etc., the authors have been able to reduce the incidence of hospital infection very drastically. These measures also almost eliminated cross-infections in patients on long-term ventilation and complications with long-term indwelling catheters.
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Langenbecks Arch Chir · Jan 1976
[Pulmonary hemodynamics, coagulation and morphological changes in the lung after thrombocyte aggregation inhibition and intravasal coagulation in experimental trauma and hemorrhagic shock].
26 mongrel dogs are subjected to a standardized bone trauma followed by a hypotonic hemorrhagic shock. Compared with a control and heparin group prophylactic treatment with Dipyridamol and Acetylsalicylic Acid decreases pulmonary vascular resistance significantly. ⋯ The decrease of the fibrinogen level and the fall of total platelet count after trauma and hemorrhage can partly be prevented by the application of heparin, likewise the development of pulmonary microthrombosis. Histological examination shows a markedly diminished pulmonary microthrombosis.
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Langenbecks Arch Chir · Jan 1976
[Preventive treatment with methylprednisolone and heparin in experimental trauma and hemorrhagic shock].
Twenty-six anesthesized mongrel dogs were subjected to a standardized traumatic hemorrhagic shock. Compared with the control group prophylactic treatment with high doses of methylprednisolone reduced functional and histologic alterations of the lung. Methylprednisolone in combination with heparin pretreatment prevents microthrombi but produces more alveolar bleeding.