731POSTOPERATIVEFrom tables There were deaths within three days, in mo - PDF document

731POSTOPERATIVEFrom tables There were deaths within three days, in moribundaged 68. Fractured 24 hr. basePM.Male, Right leg, completelypulped. face. shock. 24 hr. Irre-at 6 % vomited 5 % twice,3-5% had moderate by no spinal 18 patientsOxford 9 vomited,3 1 2 thrice more thrice.The immediate the patients summarised series, 732I—CASE-MORTALITY IN RELATION TO INVESTIGATIONIn attempt the toxicity sulpha-casesa series pneumoniawith either the and with cases treated history of illness examination, out hoursadmission thereafter. obtained and was confirm of organism lobar are -in cases of showing -a sputumexamination, been excluded.The treatment in of all was the same-administration g. followed the case maximum totalg: In cases given, a few cases received as 35 g. to treatment, large intake.weekly, in to determine the time required TABLE Sp Sulphamezathineresolution of process, disappearance of radiological signs, for ’be abnormal or weeks apparent In most cases the had disappeared by lung a longerperiod therefore as evidence delayedresolution. for some after have The relation case-mortality in I.incidence of toxic effects table 11 of complications in Sulphadiazine.-Of treated with this drug,12 general might been outcome There 2 bacteraemia on required for the in 35 hours;cases failed treatment. treated were suffering from There were and cases. for temperature towas 1 case failed respond tocases process recovery, and in respondedto further treatment was ofor and vomiting or transient but well-marked cyanosis.due to III-INCIDENCE Sufficient to and radiological to aspiration. ’sulpha-difference total present with those the newer 310 a case-mortality cases from- pre-existing the 44died could some pneumonic valescence, case-mortality Twenty-one blood-cultures on sion, and of time required29 will be can be the sulphamezathine in treatment of pneumonia. thedeath-rate was lower sulphamezathine -and diazine sulphapyridine. difference inin two series be intohowever, is at least as and sequelae, as empyema and delayedbetween with the three-drugs, that incidence in cases sulphamezathine and sulphapyridine are of coursethey rare particular is oliguria is cases treated with sulphamezathine showedwell-marked surprising, with careful spectroscopicof globin cases 733with or s.ulphadiazine, although thesufficientto clinically of these along of formed ;the tendency less than that absent.of general It was that pneumonia defervescencefor subside already radio-lesion the signs of 1 weeks, for might be correlated with the found this had relation to theof before extent lesion, dose agent this relation the the Of 38 slowly, 27 were over The results by treating members series lobar pneumonia with with 354 cases seriatim sulphapyridine.The sulphamezathine, judged case-mortality, is equal to that sulphadiazine,sulphapyridine.In cases treated with the for to after of same, treated incidence of withwas withsulphamezathine sulphadiazine, as 52 % differencethese except sulpha-sulphamezathine resolution commonest over a period of is often followed empyema.thank J. medical for Aberdeen permission to publishcases. REFERENCESGilligan, D. (1943) Proc. Biol., N.Y. 52, A. H. D. W., Smith, G. and Goldman, J. Ibid, Peters, Easby, Brit. F. Bevan, G. L. (1943) J. Pharmacol.Thompson, G. Herrell, and Brown, (1941) SOCIETY MEDICAL OFFICERS HEALTHmeeting of the ANDREW in the Diseasesopened by G. Pathologicalthe in employingblood-counts in is picturewith the the to The which persists the and viral stageproduce response. a usuallythe week and its severecases bad prognostic sign. to 10%, is characteristic. would excluding if is clear the leucopenia changes quite early theirin by the ment bacteriological methods. leucopenia a diagnosis particularlyin which seemsprobable lacks Insufficient is nowadays the istic eosinophil the leucopenia ofpara-and has seen several which persistent leuco-rubella areroughly the same. With there is with a with risingrubella, or cellsin numbers than measles sometimes increasedin measles increase in mumps be used septic where It also helps to confusion with glandular fever, though the formsof this show mumps the atypical stained films. Whooping-cough in white-cell the lymphocytes. This catarrhal whoop develops the Lymphoreaches peak is necessary in counts, in stimulated by pathologicalprocesses. Goodhart no great stresson except’perhaps inand he demands picture isExceptionally uncommonarise. recent case whooping-there were 165,000 leucocytes c.mm. which 46-5% were polymorphs 42%lymphocytes. He too characteristic sincecourse change the than healthy should beby than clinical ances, which may in blood-picture in common diseases investigation, the count should be possible trauma small and are improvement in thefuture. is a that can blood-count: a by anddifficulty interpreting changes of R. F. L. HEWLETT in enteric fever with a polymorph other speakers agreed Goodhartthat leucocytosis more in K. routine blood investigation throatoften such anginose of glandular ROBERT ORUICK-supported that, these have a positivePaul-Bunnell could not investigation. wondered