Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

English (EN)·Polski (PL)·Yкраїнський (UK)
Przejdź do strony domowej biblioteki Centralna Biblioteka Wojskowa Link otwiera się w nowym oknie Logo biblioteki Prolib Integro - strona głównaCentralna Biblioteka Wojskowa

Wyszukujesz frazę "Richter, Piotr" wg kryterium: Autor

  Lista filtrów
Wyrównaj
    Wyświetlanie 1-14 z 14
    Tytuł:
    An Umbilical/Paraumbilical Hernia as a Sign of an Intraabdominal Malignancy in the Elderly
    Autorzy:
    Kenig, Jakub
    Richter, Piotr
    Barczyński, Marcin
    Powiązania:
    https://bibliotekanauki.pl/articles/1395767.pdf
    Data publikacji:
    2014-04-01
    Wydawca:
    Index Copernicus International
    Tematy:
    umbilical hernia
    paraumbilical hernia
    intraabdominal malignancy
    surgery
    elderly
    Opis:
    The umbilical area can present with a variety of signs associated with an intra abdominal malignancy. An umbilical/paraumbilical hernia might itself be a sign of an internal malignancy. The correlation between the presence of an umbilical/paraumbilical hernia and an intra abdominal malignancy has been previously based only on case reports. The aim of the study was to evaluate the significance of an umbilical/paraumbilical hernia as a symptom of an intraabdominal malignancy. Material and methods. A retrospective analysis was performed; review of the medical records of 145 patients (113 female and 32 male; mean age 66.4±11.9) with an umbilical/paraumbilical hernia treated during the period of 2005-2013. Twenty-three patients (15.9%) were diagnosed with an intra abdominal malignancy; 34% were in the age group over 75 years of age. Results. The most common malignancies were: colorectal cancer, followed by pancreatic cancer, and cancers of the adnexa and kidneys. The patients with a concomitant malignancy identified were significantly older than those without a malignancy. In 65% of patients, the diagnosis was made postoperatively. Logistic regression analysis demonstrated that age, the presence of preoperative symptoms, anemia, and weight loss were independent risk factors for concomitant abdominal cancer. Conclusion. The findings of this study support intensive preoperative diagnostic evaluation of elderly patients that are qualified for surgery for an umbilical/paraumbilical hernia. This is particularly important because most of these patients had a small/medium hernia orifice, which did not allow for accurate manual abdominal exploration. Currently, the routine preoperative diagnostic evaluation is often insufficient for an accurate diagnosis
    Źródło:
    Polish Journal of Surgery; 2014, 86, 4; 189-193
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Vulnerable Elderly Survey 13 as a Screening Method for Frailty in Polish Elderly Surgical Patient - Prospective Study
    Autorzy:
    Kenig, Jakub
    Richter, Piotr
    Żychiewicz, Beata
    Olszewska, Urszula
    Powiązania:
    https://bibliotekanauki.pl/articles/1395722.pdf
    Data publikacji:
    2014-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    Vulnerable Elders Survey
    VES-13
    comprehensive geriatric assessment
    surgery in the elderly
    Opis:
    The Vulnerable Elders Survey (VES-13) is a simple function based frailty screening tool that can be also administered by the nonclinical personnel within 5 minutes and has been validated in the out- and in patient clinic and acute medical care settings. The aim of the study was to validate theaccuracy of the VES-13 screening method for predicting the frailty syndrome based on a CGA in polish surgical patients. Material and methods. We included prospectively 106 consecutive patients ≥65, that qualify for abdominal surgery (both due to oncological and benign reasons), at the tertiary referral hospital.We evaluated the diagnostic performance of VES-13 score comparing to the results from the CGA, accepted as the gold standard for identifying at risk frail elderly patients. Results. The prevalence of frailty as diagnosed by CGA was 59.4%. There was significantly higher number of frail patients in the oncological group (78% vs. 31%; p<0.01). According to the frailty screening methods, the frailty prevalence was 45.3%. The VES-13 score had a 60% sensitivity and 78% specificity in detecting frailty syndrome. The positive and negative predictive value was 81% and 57%, respectively. The overall predictive capacity was intermediate (AUC=0.69) Conclusions. At present, the VES-13 screening tool for older patients cannot replace the comprehensive geriatric assessment; this is due to the insufficient discriminative power to select patients for further assessment. It might be helpful in a busy clinical practice and in facilities that do not have trained personal for geriatric assessment.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 3; 126-131
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Renal Carcinoma Metachronous Metastases to the Gall-Bladder and Pancreas - Case Report
    Autorzy:
    Zygulska, Aneta
    Wójcik, Adrian
    Richter, Piotr
    Krzesiwo, Katarzyna
    Powiązania:
    https://bibliotekanauki.pl/articles/1396695.pdf
    Data publikacji:
    2012-06-01
    Wydawca:
    Index Copernicus International
    Tematy:
    clear cell renal carcinoma
    metastasis to the gall-bladder and pancreas
    Opis:
    Renal carcinoma metastases to the gastrointestinal tract are seldom reported in medical literature. The study presented a case of a 76-year old female patient who underwent nephrectomy, due to T2N0M0 clear cell renal carcinoma and was additionally diagnosed with two metachronous metastases to the gall-bladder and pancreas. Abdominal ultrasound performed 32 months after nephrectomy demonstrated the presence of cholelithiasis and gall-bladder polyp. Laparoscopic cholecystectomy was performed. Clear cell renal carcinoma metastasis restricted to the gall-bladder mucosa was diagnosed on the basis of the histopathological examination. After surgery the patient remained under follow-up. In December, 2009 (47 months after nephrectomy) abdominal computer tomography (CT) revealed the presence of a tumor located in the tail of the pancreas. Distal pancreatic resection and splenectomy was performed. The histopathological examination confirmed the presence of clear cell renal carcinoma metastasis. The patient is in good general condition, under follow-up at the Oncological Outpatient Clinic.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 6; 313-316
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The Prognostic Role of Comorbidities in Older Patients Qualified for Emergency Abdominal Surgery
    Autorzy:
    Kenig, Jakub
    Richter, Piotr
    Olszewska, Urszula
    Żychiewicz, Beata
    Powiązania:
    https://bibliotekanauki.pl/articles/1395995.pdf
    Data publikacji:
    2015-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    emergency surgery
    comorbidities
    older patients
    Opis:
    Until now, the literature about the influence of specific comorbid conditions on outcome of emergency abdominal surgery in polish elderly patients is scars. The aim of the study was to determine the prognostic role of comorbidities in patients qualified for emergency abdominal surgery. Material and methods. One hundred and eighty four consecutive patients(98 female and 86 male). 65 years of age were prospectively enrolled. The mean age was 76.9±5.8 (range 65-100) years old. Results. Only 16% of patients did not have any preoperative comorbidity. The 30-day mortality was 24.5% (45 patients). The 30-day morbidity was experienced by the 58.7% (108 patients), including 40 patients (21.7%) with minor complications and 68 patients (37%) with major complications, according to the Clavien-Dindo complications scale. The dysrhythmia (odds ratio 1.6, 95% CI 1.2-2.6, p=0.02), vascular disease (odds ratio 2.1, 95% CI 1.4- 3.1, p=0.02) and renal disease (odds ratio 1.4, 95% CI 1.2-2.8, p=0.01) were independent risk factors of 30-day morbidity. The vascular disease was also the independent risk factor of 30-day postoperative death in the multivariate regression analysis (odds ratio 1.9, 95% CI 1.3-2.8, p=0.001). Conclusions. Preoperative comorbidities are common among elderly patients qualified for emergency abdominal surgery. However, only some of them (the dysrhythmia, the vascular disease and the renal disease) are independent risk factors of postoperative adverse outcomes. Therefore, number of comorbidies alone should not be the reason for a limited treatment.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 12; 569-575
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Low-Anterior-Resection Syndrome. How Does Neoadjuvant Radiotherapy and Low Resection of the Rectum Influence the Function of Anal Sphincters in Patients with Rectal Cancer? Preliminary Results of a Functional Assessment Study
    Autorzy:
    Romaniszyn, Michał
    Richter, Piotr
    Walega, Piotr
    Kenig, Jakub
    Nowak, Marcin
    Nowak, Wojciech
    Powiązania:
    https://bibliotekanauki.pl/articles/1396730.pdf
    Data publikacji:
    2012-04-01
    Wydawca:
    Index Copernicus International
    Tematy:
    rectal cancer
    low anterior resection
    neoadjuvant radiotherapy
    anal sphincter function
    Opis:
    The aim of the study was to assess the influence of neoadjuvant radiotherapy and resection of the rectum on the functional parameters of anal sphincters.Material and methods. 20 patients with rectal cancer, qualified for low anterior rectal resection with neoadjuvant radiotherapy were enrolled in the study group. The study protocol included an anorectal manometry, electromyography and fecal incontinence questionnaire (FISI) before radiotherapy, after radiotherapy, and after the operation.Results. Of the 20 patients 12 were included in the final analysis, because 8 patients were re-qualified to abdomino-perineal resection of the rectum after neoadjuvant treatment. There were no significant changes in anal pressures assessed 5 to 8 days after radiotherapy. In 3 cases (25%) pathological changes in RAIR reflex were found in the manometric examination. After low anterior resection mean basal anal pressures were significantly lower, whereas squeeze anal pressures did not change significantly. In 7 patients (58%) the RAIR reflex was pathological or even absent after low anterior resection. Changes in manometric parameters correlated with FISI incontinence assessment after the operation. In electromyographic examination action potentials of motoric units of the external anal sphincter were still present both after radiotherapy, and after operation.Conclusions. Fecal incontinence after low anterior resection of the rectum seems to be caused mostly by changes in autonomic functionality of anal sphincters and lack of compliance of the neorectum, since the influence of neoadjuvant radiotherapy and the operation itself on the somatic innervation of anal sphincters seems to be minimal.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 4; 177-183
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Risk Factors for Wound Dehiscence after Laparotomy – Clinical Control Trial
    Autorzy:
    Kenig, Jakub
    Richter, Piotr
    Żurawska, Sabina
    Lasek, Anna
    Zbierska, Katarzyna
    Nowak, W.
    Powiązania:
    https://bibliotekanauki.pl/articles/1396927.pdf
    Data publikacji:
    2012-12-01
    Wydawca:
    Index Copernicus International
    Tematy:
    dehiscence
    risk factors
    Opis:
    Described in the literature dehiscence rate in the adult population is 0.3-3.5%, and in the elderly group as much as 10%. In about 20-45% evisceration becomes a significant risk factor of death in the perioperative period. The aim of the study was to identify the main risk factors for abdominal wound dehiscence in the adult population. Material and methods. The study included patients treated in the 3rd Department of General Surgery, Jagiellonian University Collegium Medicum in Cracow in the period from January 2008 to December 2011, in which at that time laparotomy was performed and was complicated by wound dehiscence in the postoperative period. For each person in a research group, 3-4 control patient were selected. Selection criteria were corresponding age (± 2-3 years), gender, underlying disease and type of surgery performed. Results. In 56 patients (2.9%) dehiscence occurred in the postoperative period with 25% mortality. The group consisted of 37 men and 19 women with the mean age of 66.8 ± 12.6 years. Univariate analysis showed that chronic steroids use, surgical site infection, anastomotic dehiscence/fistula in the postoperative period and damage to the gastrointestinal tract are statistically significant risk factors for dehiscence. Two first of these factors occurred to be independent risk factors in the multivariate analysis. In addition, due to the selection criteria, a group of risk factors should also include male gender, emergency operation, midline laparotomy, colorectal syrgery and elderly age (> 65 years). Logistic regression analysis did not show that a particular surgeon, time of surgery or a particular month (including holiday months) were statistically significant risk factor for dehiscence. Conclusions. Wound dehiscence is a serious complication with relatively small incidence but also high mortality. Preoperative identification of risk factors allows for a more informed consent before patient’s treatment and to take measures to prevent or minimize the consequences of complication associated with it.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 11; 565-573
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Checklist in colorectal surgery – proposal of experts of the Polish Club of Coloproctology and National Consultant in general surgery
    Autorzy:
    Banasiewicz, Tomasz
    Krokowicz, Łukasz
    Richter, Piotr
    Dziki, Adam
    Krokowicz, Piotr
    Lorenc, Zbigniew
    Szczepkowski, Marek
    Drews, Michał
    Wallner, Grzegorz
    Powiązania:
    https://bibliotekanauki.pl/articles/1393115.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    Checklist
    colorectal surgery
    surgical complications
    Opis:
    A checklist is a collection of information that helps reduce the risk of failure due to limitations in human memory and attention. In surgery, the first Surgical Safety Checklist (SSC), created under the supervision of WHO (World Health Organization), was established in 2007 and covers three stages related to the patient's stay in the operating theater and operation: 1. Prior to initiation (induction) of anesthesia; 2. before cutting the skin; 3. before the patient leaves the operating room Colorectal surgery is particularly at high risk for complications and relatively high mortality. Elimination or, more likely, reducing the risk of complications by standardizing perioperative procedures may be particularly important in this group. The introduction of "dedicated" colorectal checklist surgery seems to be justified. The checklist proposed by the authors in colorectal surgery is divided into four stages, in which conscientious completion of checklists is intended to reduce the potential risk of complications due to hospitalization and surgical treatment. The presented checklist is obviously not closed, as a new publications or recommendations appear, some points may be modified, new issues may be added to the checklist. At present, however, it is a tool considering the well-known and confirmed elements of intraoperative procedures, the compliance of which may significantly reduce the rate of adverse events or surgical complications.
    Źródło:
    Polish Journal of Surgery; 2017, 89, 6; 44-49
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Postoperative pain relief in general surgery – recommendations of the Association of Polish Surgeons, Polish Society of Anaesthesiology and Intensive Therapy, Polish Association for the Study of Pain and Polish Association of Regional Anaesthesia and Pain Treatment
    Autorzy:
    Wordliczek, Jerzy
    Zajączkowska, Renata
    Dziki, Adam
    Jackowski, Marek
    Richter, Piotr
    Woroń, Jarosław
    Misiołek, Hanna
    Dobrogowski, Jan
    Paśnik, Krzysztof
    Wallner, Grzegorz
    Malec-Milewska, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/1392367.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    recommendations
    pain
    pain treatment
    pharmacotherapy
    general surgery
    perioperative procedures
    Opis:
    It is estimated that there are over 310 million surgeries performed in the world every year. Appropriate analgesic management in the perioperative period constitutes a fundamental right of every patient, significantly reducing the number of postoperative complications and the time and costs of hospitalization, particularly in the high-risk group of patients (ASA III-V) subject to extensive surgical procedures and hospitalized in intensive care units. Despite such significant arguments speaking for the conduct of effective analgesia in the perioperative period, nearly 79% of patients operated in hospitalization settings and 71% of patients operated in outpatient settings (so-called first day surgery) experienced postoperative pain of moderate, strong or extreme intensity. Hence, effective relief of postoperative pain should constitute one of the priorities of integrated, modern perioperative management, the components of which apart from adequate analgesia involve early nutrition through the alimentary canal, early patient activation and active physiotherapy. In the currently published “Guidelines”, a team of authors has updated the previous “Recommendations” primarily in terms of methods for optimizing postoperative pain relief and new techniques and drugs introduced for postoperative pain therapy in recent years. The algorithms of postoperative pain management in different treatment categories were also updated.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 1; 47-68
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Polish Consensus on Treatment of Gastric Cancer; update 2017
    Autorzy:
    Kulig, Jan
    Wallner, Grzegorz
    Drews, Michał
    Frączek, Mariusz
    Jeziorski, Arkadiusz
    Kielan, Wojciech
    Kołodziejczyk, Piotr
    Nasierowska-Guttmejer, Anna
    Starzyńska, Teresa
    Zinkiewicz, Krzysztof
    Wojtukiewicz, Marek
    Skoczylas, W. Tomasz
    Richter, Piotr
    Krawczyk, Marek
    Powiązania:
    https://bibliotekanauki.pl/articles/1393313.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    Gastric Cancer
    Helicobacter pylori
    Laparotomy
    Non-steroidal anti-inflammatory drugs
    Immunohistochemistry
    Surgical treatment
    Panendoscopy
    Biopsy
    Opis:
    The “Polish Research on Gastric Cancer” project has been continued since 1986. The main aim of this project, which is a multicenter and interdisciplinary research, is enhancing the treatment results of gastric cancer patients by developing and promoting the use of optimal methods for diagnosis and treatment, both surgical as well as combined. One of the more important achievements of the project is the development and publication of a document named “Polish Consensus on Treatment of Patients with Gastric Cancer”, whose first version was published in 1998. Following versions were updated adequately to changing trends in the proceedings in patients with gastric cancer. A scientific symposium on “Polish Consensus on Treatment of Gastric Cancer – update 2016” was held in 3-4 June 2016 in Cracow. During the symposium a panel session was held during which all authors publicly presented the Consensus assumptions to be discussed further. Moreover, the already mentioned session was preceded by a correspondence as well as a working meeting in order to consolidate the position. It has to be underlined that the directions and guidelines included in the Consensus are not the arbitrarily assumed rules of conduct in a legal aspect and as such every doctor/team of doctors is entitled to make different decisions as long as they are beneficial to a patient with gastric cancer. The Consensus discusses as follows: a) recommended qualifications (stage of advancement, pathological, lymph node topography and the extent of lymphadenectomy, division of cancer of the gastroesophageal junction), b) rules for diagnostics including recommendations regarding endoscopic examination and clinical evaluation of the advancement stage, c) recommendations regarding surgical treatment (extent of resection, extent of lymphadenectomy, tactics of proceedings in cancer of the gastroesophageal junction), d) recommendations regarding combined treatment with chemotherapy or radiotherapy, e) place of endoscopic and less invasive surgery in the treatment of gastric cancer. This publication is a summary of the arrangements made in the panel session during the abovementioned scientific symposium in Cracow in 2016.
    Źródło:
    Polish Journal of Surgery; 2017, 89, 5; 59-73
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Guidelines of the Association of Polish Surgeons and the Polish Society of Surgical Oncology on the accreditation of healthcare centers providing cytoreductive surgery and HIPEC for primary and secondary peritoneal cancers
    Autorzy:
    Jastrzębski, Tomasz
    Richter, Piotr
    Zegarski, Wojciech
    Dziki, Adam
    Wallner, Grzegorz
    Jeziorski, Arkadiusz
    Wysocki, Wojciech
    Jackowski, Marek
    Bębenek, Marek
    Olesiński, Tomasz
    Polkowski, Wojciech
    Wyrwicz, Lucjan
    Wydra, Dariusz
    Biernat, Wojciech
    Czauderna, Piotr
    Studniarek, Michał
    Polec, Tomasz
    Owczuk, Radosław
    Sommer, Anna
    Szewczyk, Krzysztof
    Mielko, Jerzy
    Powiązania:
    https://bibliotekanauki.pl/articles/1391728.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    accreditation
    cytoreduction
    HIPEC
    peritoneal cancer
    quality of treatment
    Opis:
    Surgical interventions in patients with peritoneal metastases combined with hyperthermic intraperitoneal chemotherapy (HIPEC) and systemic treatment are becoming more common and, when applied to selected patient groups, they reach 5-year survival rates of 32–52%. Good clinical outcomes require experienced and well-equipped healthcare centers, experienced surgical team and adequate patient qualification process. As a result of the discussion on the need for evaluation of quality of care and treatment outcomes and at the request of the Peritoneal Cancer Section of the Polish Society of Surgical Oncology, accreditation standards have been developed and the Accreditation Committee has been established for healthcare centers providing cytoreductive surgery and HIPEC for the management of primary and secondary peritoneal cancers.
    Źródło:
    Polish Journal of Surgery; 2020, 92, 4; 47-53
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Polish Consensus Statement On The Protective Stoma
    Autorzy:
    Szczepkowski, Marek
    Banasiewicz, Tomasz
    Krokowicz, Piotr
    Dziki, Adam
    Wallner, Grzegorz
    Drews, Michał
    Herman, Roman
    Lorenc, Zbigniew
    Richter, Piotr
    Bielecki, Krzysztof
    Tarnowski, Wiesław
    Kruszewski, Jan
    Kładny, Józef
    Głuszek, Stanisław
    Zegarski, Wojciech
    Kielan, Wojciech
    Paśnik, Krzysztof
    Jackowski, Marek
    Wyleżoł, Mariusz
    Stojcev, Zoran
    Przywózka, Alicja
    Powiązania:
    https://bibliotekanauki.pl/articles/1395793.pdf
    Data publikacji:
    2014-08-01
    Wydawca:
    Index Copernicus International
    Źródło:
    Polish Journal of Surgery; 2014, 86, 8; 391-404
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Application of Alteplase in the therapeutic window of stroke in the course of cardiomyopathy
    Zastosowanie Alteplazy w oknie terapeutycznym udaru mózgu w przebiegu kardiomiopatii
    Autorzy:
    Richter, Przemysław
    Leszczyński, Piotr
    Nabiałek, Aleksandra
    Tytan, Oksana
    Powiązania:
    https://bibliotekanauki.pl/articles/1033251.pdf
    Data publikacji:
    2018
    Wydawca:
    Towarzystwo Pomocy Doraźnej
    Tematy:
    stroke
    thrombolysis
    therapeutic window
    history
    atrial fibrillation
    Opis:
    Stroke is a threat to the health and life of the patient. Only early diagnosis and treatment in the so-called therapeutic window, enable effective help. This case represents an untreated 65-year-old man who suffered an acute stroke and was in a severe condition with full aphasia and hemiparesis transmitted by a medical emergency team in the emergency room of a hospital with a peripheral unit. Reliable intelligence at the scene, rapid transport to a dedicated treatment center, early imaging diagnostics and implemented thrombolytic therapy within 4.5 hours after the onset of symptoms, allowed to obtain a satisfactory final effect, despite co-existing cardiomyopathy.
    Udar mózgu stanowi zagrożenie zdrowia i życia pacjenta. Tylko wczesne rozpoznanie, diagnostyka i leczenie w tzw. oknie terapeutycznym, umożliwiają skuteczną pomoc. Omawiany przypadek przedstawia nieleczonego 65.letniego mężczyznę, który doznał ostrego udaru mózgu i w stanie ciężkim z pełną afazją i niedowładem połowiczym został przekazany przez zespół ratownictwa medycznego na izbie przyjęć szpitala dysponującego oddziałem udarowym. Rzetelny wywiad na miejscu zdarzenia, szybki transport do dedykowanego ośrodka leczniczego, wczesna diagnostyka obrazowa i wdrożona terapia trombolityczna w przeciągu 4,5 godziny od wystąpienia objawów, pozwoliły na uzyskanie satysfakcjonującego efektu końcowego, mimo współistniejącej kardiomiopatii.
    Źródło:
    Critical Care Innovations; 2018, 1, 1; 37-43
    2545-2533
    Pojawia się w:
    Critical Care Innovations
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-14 z 14

      Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies