A case of pyonephrosis containing typhoid bacilli in pure culture

A case of pyonephrosis containing typhoid bacilli in pure culture
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DOI:
10.1136/bmj.2.2428.75
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发表时间:
1907-01-01
影响因子:
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通讯作者:
Greaves, FA
Greaves, FA
中科院分区:
医学1区
文献类型:
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作者:
Greaves, FA

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1907 年 7 月 13 日,耻骨上手术。 rDTC BJRIHL 75 且残疾持续,最终采用肾切除术。的。接受肾切除术的患者随后的命运总是值得关注的,但由于我的许多手术实施时间相对较短,并且追踪医院病例的困难,使得我现在要提到的记录的价值低于本来应有的价值。在总医院外接受手术的 9 名患者中,有 8 名状况良好; 1 患有复发性生长;自第一次手术以来最长的时间间隔是九年。医院里的病人我无能为力。学习任何与10有关的事情;剩下的 20 人中,有 19 人还活着,而且就其健康状况来看,其中一些人表示自己“健康状况非常好”。一名患者死亡,一名妇女在五年半前,当时 38 岁,因巨大的多囊肾接受了手术。另一个肾脏,当时刚刚可触及,大小迅速增大,但在很长一段时间内保持相当有效的排泄功能,患者能够过上积极而有用的生活,我认为,如果没有肾切除术,这是不可能的。 1906 年 9 月,剩余肾脏的排泄变得非常不足,病人在短暂患病后于去年 1 月去世,具体细节我还无法得知。
JULY 13, 1907n SUPRAPUBIC UTHOLAPAXY. rDTC BJRIHL 75 and disability continuing, nephrectomy was eventually resorted to. The s. ubsequent fate of patients submitted to nephrectomy must always be worthy of attention, but the com-paratively short period which has elapsed since many of my operations were performed, and the difficulty of tracing hospital cases, renders the record I am now about to mention of less value than it would otherwise have been. Eight of the 9 patients operated on outside the General Hospital remain well; 1 is suffering from recurrence of growth; the longest interval of time since the first of these operations is nine years. Of the hospital patients I am unable. to learn anything concerning 10; of the remaining 20, 19 are alive, and as far as can be gathered in reasonable health, several of them expressing themselves as" in very good health." One patient is dead, a woman operated on five and a half years ago, when 38 years of age, for a huge polycystic kidney. The other kidney, at that time just palpable, rapidly increased in size, but remained fora long time fairlyefficient In its excretory functions, and the patient Was-enabled to lead an active and useful life, which without nephrectomy would not, I think, have been possible. In September, 1906, the excretion by the remaining kidney was becoming very insufficient, and the patient died in January last, after a brief illness the details of which I have not been able yet to obtain.'