ABSTRACT
Third degree atrioventricular (AV) heart block with severe Adams-Stokes attacks in 3 patients with Lyme borreliosis is described. All patients had similar clinical manifestations: previously healthy, they experience syncope as an abrupt onset of the disease. Data on skin changes--erythema migrans--was subsequently obtained, although the patients did not recall being bitten by a tick. Diagnoses were based on clinical manifestations and on positive serologic test results to borrelia. Following AV block returned to sinus rhythm with normal AV conduction in all patients.
Subject(s)
Borrelia burgdorferi Group/isolation & purification , Heart Block/etiology , Lyme Disease/complications , Myocarditis/etiology , Adams-Stokes Syndrome/etiology , Adult , Anti-Bacterial Agents , Diagnosis, Differential , Drug Therapy, Combination/therapeutic use , Female , Humans , Lyme Disease/diagnosis , Lyme Disease/drug therapy , Male , Syncope/etiologyABSTRACT
The authors present a series of 36 patients operated on for severe intraabdominal bleeding due to spleen trauma. Patients were treated from 02. December 1987 till 30. June 1988 in Emergency Center-Surgical Clinic-University Clinical Center Belgrade (Institute of digestive pathology). The standard operative procedure has been removal because splenic salvage is unreasonable if there is ungoing bleeding and multiple associated injuries. Splenectomy was performed in 32 (88 percent). Overall mortality rate was 9%. Authors want to stress out the role of team in successful treatment of polytraumatized patients.
Subject(s)
Hemorrhage/diagnosis , Spleen/injuries , Abdominal Injuries/diagnosis , Humans , Multiple TraumaABSTRACT
This report is based on the review of 230 victims of multiple injuries, treated during 8 months period. There were 156 casualties with dominant Chest and Abdominal injuries. In the immediate treatment of these patients we applied modification of an original scheme by Schweiberer. We also introduced our own procedure of life-saving measures of high priorities. In evaluation of the most accident victims governed by priority of the severity of the multiple injuries, a complete, orderly examination by X-ray, Ultrasonic and CT scanning was undertaken.
