Th. Zwergel

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Prostaglandin inhibitors such as indomethacin have been used for the treatment of renal colic. While opioids have a central analgesic effect, the effects of indomethacin are mainly peripheral, acting directly on the kidney. Pharmacourodynamic investigations of the upper urinary tract in men have demonstrated that intravenous indomethacin reduces renal(More)
Lymphocyte sensitization to myelin basic protein (encephalitogenic factor, EF) was determined in 193 children by measuring the electrophoretic mobility of indicator particles which had been incubated with the supernatant of the lymphocyte-antigen (EF) mixture. A significant decrease in electrophoretic migration time was found in 77 of 85 children with(More)
A modified electrophoretic mobility (EM) test was performed in 150 children to examine their lymphocyte sensitization to myelin basic protein (encephalitogenic factor). Measurements in the cytopherometer were facilitated by using devitalized sheep erythrocytes as indicator particles instead of macrophages. A significant decrease in EM was found in 29/30(More)
Some of the most common lesions in patients with multiple traumas are injuries to the urinary system. A blunt trauma of the abdomen mainly leads to injuries of the kidney, ureter and/or bladder, whereas the external genitals are often damaged by contusions, decollements and even amputation. The multiply traumatized patient must necessarily be cared for and(More)
Anamnese, klinische Symptomatologie und neuere bildgebende Verfahren ermöglichen heute eine exakte Stadieneinteilung des Nierentraumas. Mitzunehmender Erfahrung gewinnen die digitale Subtraktionsangiographie, die Sonographie und die Compute rtomographie an Wertigkeit in der rationellen Diagnostik des Urogenitaltraumas. Das Urogramm ist als Basisuntersuchung(More)
The Piezolith 2200 uses piezoelectrically generated high-energy sonic pulses for extracorporeal urinary stone disintegration. The generator is self-focussing. Calculi as small as 1 mm in diameter can be localized by an integrated ultrasound location system. As treatment with the Piezolith does not cause any pain, patients are treated without anesthesia and(More)
Verletzungen der Blase und Harnröhre stellen Urologen und Unfallchirurgen vor gemeinsame diagnostische und therapeutische Probleme. Bei 98 Patienten mit Beckenfrakturen und Verletzungen des unteren Harntraktes der Jahre 1975–1982 werden Ätiologie, Unfallme chanismus und Therapiemöglichkeiten retrospektiv analysiert, ebenso bei 24 Patienten mit vorderer(More)
Das Schicksal des Polytraumatisierten hängt wesentlich davon ab, wie schnell Organverletzungen erkannt, ihr Schweregrad festgestellt und daraufhin therapeutische Schritte eingeleitet werden. Voraussetzung für eine optimale Versorgung Schwerverletzter ist die perfekte Organisation und die gute interdisziplinäre Zusammenarbeit. Das Behandlungskonzept,(More)
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