Pulmonary edema following intracranial pressure elevation was studied by means of scanning electron microscopy. Using three different fixation procedures-immersion, vascular perfusion, and tracheal instillation-the various features of intraalveolar edema formation could be demonstrated: capillary congestion, intraalveolar proteinious exudate, and capillary hemorrhage.
516 newborn children were subject to a thorough cardiac and neurological test program after a long-term tocolysis with Fenoterol with and without a supplementary medication of Verapamil. No symptoms of a myocardial damage caused by the drug appeared neither in the electrocardiogram nor by means of lab-chemical parameters such as CK-MB, Serum-Myoglobin and CK-B. Except for premature children, no significant neurological characteristics were found either. Due to the low quantity of Fenoterol passing through the placenta and based on the minimum cumulation of Fenoterol in the fetal tissue, especially in the fetal myocardium, a tocolysis does not seem to have any significantly dangerous fetal effects, if control parameters are strictly adhered to. The endeavoured therapeutical objective, namely the prevention of premature labour, thus justifies the application of the betasympathomimetic Fenoterol.
Bei der Laparotomia explorativa stellte sich nach Absaugen yon 5 Liter blutigtingiertem Aszites folgender Situs dar: Der Uterus war taubeneigroB, zur Blase hin fixiert, beide Ovarien waren nur als rudiment~ir strangf6rmige Gebilde vorhanden. Der gesamte Douglas'sche Raum war durch 6demat6s endometriotisch harte Strukturen v611ig verl6tet, diese Strukturen setzten sich auf der Rektumwand fiber eine Strecke von 5 cm nach cranial hin fort. Das Coecum war im Bereich der rechten Adnexe breitfl~ichig durch die gleichen tells polyp6s, teils endometriotisch wirkenden Strukturen adh~irent, Auf der gesamten Dick-und Dfinndarmserosa fanden sich multiple blasenf6rmige Gebilde bis zu Bohnen-
The authors report on five cases of massive atonic uterine haemorrhage which could be influenced neither by repeated application of oxytocin nor by methylergometrin. Intramyometrial application of PGF2 alpha succeeded in inducing a satisfactory uterine tone and stopping the haemorrhage. With regard to own experiences and data from only few publications dealing with the use of prostaglandin in atonic haemorrhage, the authors consider transvaginal intramyometrial application of PGF2 alpha to be an effective method to circumvent an emergency hysterectomy. However, this should occur sufficiently early and in a dose of not less than 1 mg.
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