Abstract:
:These studies show the results of intensive care management of 306 consecutive patients with tetanus compared with 335 patients treated conservatively in the same hospital before the institution of the ICU. The impact of the ICU treatment was manifested in a decrease in mortality, from 43.58 percent to 15 percent. In addition, while patients treated conservatively died as a consequence of early acute respiratory failure, the main cause of death in the ICU-treated patients was unexpected cardiac arrest, probably related to overactivity of the autonomic nervous system. We conclude that to ensure a high survival rate in patients with tetanus, the treatment must be performed according to established protocol in an ICU.
journal_name
Chestjournal_title
Chestauthors
Trujillo MH,Castillo A,España J,Manzo A,Zerpa Rdoi
10.1378/chest.92.1.63subject
Has Abstractpub_date
1987-07-01 00:00:00pages
63-5issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(16)37638-3journal_volume
92pub_type
杂志文章相关文献
CHEST文献大全abstract::Disputes regarding life-prolonging treatments are stressful for all parties involved. These disagreements are appropriately almost always resolved with intensive communication and negotiation. Those rare cases that are not require a resolution process that ensures fairness and due process. We describe three recent cas...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2016.05.026
更新日期:2016-09-01 00:00:00
abstract:STUDY OBJECTIVES:The purpose of this study was to investigate the test-retest reliability, repeatability, and sensitivity of the modified shuttle test (MST) in adult patients with cystic fibrosis (CF). DESIGN:: Prospective study. SETTING:Adult CF Unit, Belfast City Hospital. PATIENTS:: Adult patients with CF. INTER...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.117.6.1666
更新日期:2000-06-01 00:00:00
abstract::Nocturnal noninvasive ventilation (NNV), the provision of ventilatory assistance via a noninvasive interface mainly during sleep, has assumed an important role in the management of chronic hypoventilatory syndromes. This review focuses on recent developments related to the use of NNV to treat various forms of chronic ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.07-1527
更新日期:2008-05-01 00:00:00
abstract:STUDY OBJECTIVES:To describe the prevalence of parental prompting to smoke (eg, parent requests that their child light the parent's cigarette in his/her own mouth) in a sample of families, and to assess the agreement between child and parent reports of the prompting behaviors. DESIGN, SETTING, AND PARTICIPANTS:A total...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.125.2.429
更新日期:2004-02-01 00:00:00
abstract::The echocardiographic appearance of fungal endocarditis of the aortic valve is described in a patient who subsequently died from this disease. In addition, the progressive growth of the vegetation on serial echocardiograms was recorded, and premature closure of the mitral valve was absent, notwithstanding perforation ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.2.300
更新日期:1976-08-01 00:00:00
abstract::Two cases of a Greenfield inferior vena cava (IVC) filter being dislodged during central venous catheter placement are described. This event appears to be related to J-tip guidewire use during venous catheterization. To our knowledge, this occurrence previously has not been reported. One of the two filters was dislodg...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.106.3.957
更新日期:1994-09-01 00:00:00
abstract::The effect of combined administration of different dose ratios of dobutamine (DB) and dopamine (DA) (DB/DA ratio of 1:1; 1.5:0.5; 2:0; 0.5:1.5; and 0:2), with the added dose kept constant (10 micrograms/kg/min-20 micrograms/kg/min), on right ventricular function (measured by the thermal washout method with the aid of ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.5.1197
更新日期:1992-05-01 00:00:00
abstract::Plug closure of patent ductus arteriosus without thoracotomy is reliable and can be a good alternative to surgical closure for selected patients. We report our experiences with plug closure in 87 consecutive patients (age range, 3 to 38 years). Closure was successful in 83 patients (95 percent). There has been no mort...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.5.631
更新日期:1976-11-01 00:00:00
abstract::Pulmonary function studies were performed before and after one-time administration of an inhaled bronchodilator to ascertain the relative diagnostic value of using FVC, FEF25-75%, static lung volumes, Raw, and/or sGaw measurements, in addition to the FEV1, to assess the reversibility of chronic airways obstruction in ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.93.3.541
更新日期:1988-03-01 00:00:00
abstract::A 65-year-old woman with an acute myocardial infarction, as judged by serial enzyme changes, developed transitory Q waves in leads V2 to V4 and leads 2, 3, and aVF during an attack of pain in the chest. These Q waves were not present 12 hours later. It is suggested that these changes represent a focal block in the sep...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.75.6.728
更新日期:1979-06-01 00:00:00
abstract::Significant concentrations of asbestos fibers have been found in samples of laryngeal tissue from two patients with past exposure to asbestos and associated asbestosis. In one case, there was a polyp on a vocal cord and in the other one a laryngeal carcinoma. These findings could provide an indication of a local carci...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.76.6.697
更新日期:1979-12-01 00:00:00
abstract::We studied 15 nonsmoking, clinically stable asthmatic subjects aged 27 to 39 years to evaluate the potential cardiotoxic effects of combined use of a beta-adrenergic agonist drug and theophylline in the treatment of asthma. Subjects underwent a one-week washout period followed by two one-week periods of study receivin...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.90.1.45
更新日期:1986-07-01 00:00:00
abstract::A report of pulmonary edema following acute upper airway obstruction in an adult is presented, and the literature involving 25 additional cases is reviewed. This form of pulmonary edema appears to be related to markedly negative intrathoracic pressure due to forced inspiration against a closed upper airway resulting i...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.94.5.1090
更新日期:1988-11-01 00:00:00
abstract:BACKGROUND:Pulmonary aspiration is an important recognized cause of ARDS. Better characterization of patients who aspirate may allow identification of potential risks for aspiration that could be used in future studies to mitigate the occurrence of aspiration and its devastating complications. METHODS:We conducted a s...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-3028
更新日期:2014-10-01 00:00:00
abstract:STUDY AIMS:To examine the influence of atmospheric pressure (AP) and temperature changes on the incidence of idiopathic spontaneous pneumothorax (SP). METHODS:From December 1991 through November 1993, 115 consecutive SP cases were selected. Patients were included after being in Amsterdam at least 1 full day before con...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.116.3.676
更新日期:1999-09-01 00:00:00
abstract::Pulmonary rejection and infection are the most important complications after lung transplantation. To evaluate the diagnostic value of pulmonary function testing for early detection and discrimination of these complications, seven heart-lung recipients were examined. The diagnosis of each complication was confirmed by...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.3.864
更新日期:1992-09-01 00:00:00
abstract:STUDY OBJECTIVES:Although videothoracoscopic (VTS) resection of Masaoka stage I thymoma has been reported to be a less invasive method than open thoracotomy and to achieve a comparable surgical outcome, the usefulness of this method in the treatment of stage II thymoma has not yet been prospectively evaluated. We there...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.4.3010
更新日期:2005-10-01 00:00:00
abstract::The clinical and histopathologic features of pulmonary amyloidosis were reviewed in 22 patients with systemic amyloidosis who came to autopsy. Eleven of 12 patients (92 percent) with primary amyloidosis had prominent interalveolar amyloid deposits. Symptoms attributable to these deposits were found in four cases (33 p...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.74.5.543
更新日期:1978-11-01 00:00:00
abstract::A case of acute cavitary histoplasmosis in the upper lobes is documented. The relationship of this entity to chronic cavitary histoplasmosis is discussed. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.73.1.103
更新日期:1978-01-01 00:00:00
abstract::There is conflicting and incomplete information in the literature on the pulmonary reaction which can occur following treatment of schistosomiasis. We examined the pulmonary function, bronchoalveolar lavage profile, and lung histopathology of a patient with pneumonia and peripheral eosinophilia following oxaminquine c...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.89.3.455
更新日期:1986-03-01 00:00:00
abstract::The use of neuromuscular blocking agents, particularly pancuronium, in patients receiving mechanical ventilation has been reported to cause prolonged paralysis and atrophy. We describe two mechanically ventilated patients with asthma who developed prolonged muscular weakness and atrophy after receiving the shorter-act...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.3.877
更新日期:1991-09-01 00:00:00
abstract:BACKGROUND:Long-acting bronchodilators, including long-acting beta2-agonists (LABA) and the anticholinergic tiotropium, are recommended as initial maintenance therapy in COPD. Studies to date have been limited in size and reported ambivalent results on the comparative risk of cardiovascular, cerebrovascular, and pulmon...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2016.08.001
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:COPD is a heterogeneous disease demonstrating inter-individual variation. A high COPD prevalence in Chinese populations is described, but little is known about disease clusters and prognostic outcomes in the Chinese population across Southeast Asia. We aim to determine if clusters of Chinese patients with CO...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.01.043
更新日期:2020-07-01 00:00:00
abstract::We studied the value of pleural fluid neuron-specific enolase as a possible diagnostic marker for pleurisy of small cell lung cancer by using enzyme immunoassay. Pleural fluid NSE levels in 12 patients with carcinomatous pleurisy due to small cell lung cancer were compared with those in 37 patients with carcinomatous ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.3.602
更新日期:1989-03-01 00:00:00
abstract::A 64-year-old patient was admitted to the hospital with a history of two syncopal episodes. The results of the physical examination, resting electrocardiogram and His-bundle study were all normal. Study with a 24-hour ECG monitor (Holter) was at first interpreted as demonstrating periods of sinus arrest. However, more...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.4.582
更新日期:1975-10-01 00:00:00
abstract::Atherosclerosis occurred in a coronary artery saphenous vein bypass graft. Serial angiograms are presented documenting subtotal occlusion of this graft which occurred over a nine-month period. Pathologic examination of graft material obtained at surgery demonstrated ulcerating atherosclerotic plaque. The occurrence of...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.79.1.96
更新日期:1981-01-01 00:00:00
abstract::Previously, we have reported in 1990 that 35% of carmustine treated patients (6 of 17) who survived childhood brain tumors died of pulmonary fibrosis between 2 and 13 years after treatment. In addition, 8 patients studied in 1989 (13 to 17 years post treatment), had physiologic and biopsy or radiologic evidence of pul...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.5.1355
更新日期:1995-05-01 00:00:00
abstract::Prosthetic valve endocarditis is a formidable complication following cardiac valve replacement. Surgical intervention has resulted in a significant reduction in mortality when certain complications prevail. We report two such cases of prosthetic valve endocarditis in which the use of transesophageal echocardiography p...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.6.1886
更新日期:1992-12-01 00:00:00
abstract::Gastrointestinal complications requiring surgical correction following cardiopulmonary bypass most frequently involve the upper gastrointestinal tract. Surgical diseases of the colon are quite unusual in this setting. We recently performed cardiac surgery on three patients who developed acute diverticulitis requiring ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.89.5.756
更新日期:1986-05-01 00:00:00
abstract:BACKGROUND:This study investigates the long-term benefits of pulmonary rehabilitation in terms of health-related quality of life (HRQL). Such information is of particular importance in developing strategies for aftercare at home which aim to maintain the initial improvements seen after rehabilitation. METHODS:Criteria...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.112.2.363
更新日期:1997-08-01 00:00:00