Author: Marion Cappagli
Publisher:
ISBN:
Category :
Languages : fr
Pages : 92
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Book Description
L'incidence de la maladie thromboembolique veineuse (MTEV) augmente avec l'âge. Sa morbi-mortalité sur les personnes âgées soulève plusieurs problématiques spécifiques de prise en charge. L'objectif de notre étude était de décrire les patients de 80 ans ou plus ayant présenté un évènement thromboembolique et pris en charge au CH Lyon Sud entre janvier 2016 et décembre 2017. Les patients inclus ont été identifiés par le Programme de Médicalisation des Systèmes d'Information grâces aux codes CIM10 de l'embolie pulmonaire (EP) et de la thrombose veineuse profonde (TVP). Les critères analysés étaient les facteurs de risque de MTEV, les méthodes diagnostiques, les modalités de traitement et le devenir à 3 et 6 mois. Les informations ont été recueillies de façon rétrospective dans les dossiers informatiques et analysées grâce au logiciel Microsoft Excel. 181 patients ont été inclus, parmi lesquels 134 avaient une EP et 97 une TVP. 140 patients (77%) présentaient des symptômes évocateurs d'une MTEV ; la dyspnée demeurait le signe le plus fréquent (48%) en cas d'EP. 41 EP (23%) ont été découvertes de façon fortuite au décours d'un examen réalisé pour un autre motif. Chez 141 patients (82 %), au moins un facteur favorisant était retrouvé, le plus fréquent étant l'alitement ou confinement au fauteuil (47%). Après la découverte de leur MTEV, 98% des patients étaient hospitalisés et 90 % ont été traités par un anticoagulant, pour une durée moyenne de 6 mois. Les anticoagulants oraux directs (ADO) étaient majoritairement utilisés (38%). A trois mois, 47 patients (26 %) étaient décédés. L'amélioration du diagnostic et du pronostic de la MTEV chez le sujet de plus de 80 ans nécessite de mieux connaitre ses particularités sémiologiques. Une meilleure utilisation des scores pronostiques et des traitement oraux directs pourraient permettre une meilleure prise en charge sans recours systématique à une hospitalisation.
Author: HELLEN.. QUESADA SAEZ
Publisher:
ISBN:
Category :
Languages : fr
Pages :
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Book Description
Author: Laszlo Muszbek
Publisher: CRC Press
ISBN: 1000013308
Category : Medical
Languages : en
Pages : 278
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Book Description
First Published in 1987: The book is to give insight into the multisided relationship of hemostatic systems and malignancies and to help biomedical scientists and practicing clinicians obtain a better understanding of cancer research.
Author: Peter Gloviczki
Publisher: CRC Press
ISBN: 1444109685
Category : Medical
Languages : en
Pages : 769
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Book Description
Now in its third edition, the Handbook of Venous Disorders continues to provide comprehensive and up-to-date information on acute and chronic venous and lymphatic diseases and malformations and to discuss the latest knowledge on epidemiology, pathophysiology, clinical evaluation, diagnostic imaging, medical, endovascular and surgical management. This revised, updated and expanded edition takes account of all the recent developments in these areas. New chapters on, for example, foam sclerotherapathy, radiofrequency treatment, laser treatment and open surgical reconstructions are included, as well as useful diagnostic and treatment algorithms for the various conditions that are dealt with in the book. Clinical guidelines are provided in each chapter, together with evidence scores to help the reader assess the recommendations. The Handbook of Venous Disorders is written and edited by leaders and founding members of the American Venous Forum, a society dedicated to research, education and the clinical practice of venous and lymphatic diseases. The Handbook also includes several international authors, all of whom are experts in venous disease, most being regular or honorary members of the American Venous Forum.
Author: Paolo Gresele
Publisher: Springer
ISBN: 9783642294228
Category : Medical
Languages : en
Pages : 0
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Book Description
Antiplatelet therapy is the cornerstone of treatment of ischemic cardiovascular disease and over the last few years spectacular advancements in this field have been recorded. This is the first comprehensive handbook entirely dedicated to all the aspects of antiplatelet therapy. The book is divided into three main sections, pathophysiology, pharmacology and therapy, for a total of 23 chapters. A large group of leading experts from different European countries and from the USA, both from academia and industry, have contributed to the book. Besides a detailed overview on the pharmacology and clinical applications of all the currently used or of the novel antiplatelet agents, innovative approaches (e.g. intracellular signalling as an antiplatelet target, small RNAs as platelet therapeutics, etc.) or unconventional aspects (e.g. pharmacologic modulation of the inflammatory action of platelets are also treated. The book is oriented to both basic investigators and to clinicians involved with research on platelet inhibition or with the clinical use of antiplatelet therapies.
Author: William Pellet
Publisher: Springer Science & Business Media
ISBN: 3642486924
Category : Medical
Languages : en
Pages : 225
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Book Description
Doctors Pellet, Cannoni and Pech have joined forces to write a masterly work on the subject of otoneurosurgery and tumors of the base of the skull. The anatomic illustrations, derived from their meticulous dissections, are of excellent quality and a credit to the famed tradition of French neuroanatomists of the past. It is evident that the operative techniques described by these surgeons indicate that they have spent a great deal of time in the dissecting-room and that they have completely mastered the temporal bone. A perfect knowledge of the fundamental anatomy of the petrous bone is essential before embarking on the difficult surgical procedures in this region of the brain and base of the skull. Reading this work makes it abundantly clear that the results of this type of sur gery are vastly improved when neurosurgeons and otologists combine their skills. Each of these specialists brings his unique experience and entire knowledge to the operation for the greater benefit of the patient. We wish to congratulate Doctors Pellet, Cannoni and Pech on the publication of this excellent work. March 1990 William F. House, MD William E. Hitselberger, MD Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Basic Anatomy .. 5 The Petrous Pyramid 7 TIle Petrous Cortex 7 Surfaces 8 14 Base ....... .
Author: André Denault
Publisher: CRC Press
ISBN: 1841847534
Category : Medical
Languages : en
Pages : 854
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Book Description
This second edition of the Transesophageal Echocardiography Multimedia Manual is a comprehensive resource and essential guide to the rapidly expanding field of perioperative transesophageal echocardiography (TEE), encompassing newer cardiac surgery techniques, more diverse surgical procedures, and use in the intensive care unit. With over 900 figur
Author: Theodore Warkentin
Publisher: CRC Press
ISBN: 0824758846
Category : Medical
Languages : en
Pages : 660
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Book Description
Taking stock of advances in clinical recognition, laboratory testing, and pharmacologic therapy as well as basic aspects of pathogenesis, the Third Edition of Heparin-Induced Thrombocytopenia reinforces its standing as the leading guide to accurate diagnosis and effective management of this complex condition. Featuring added chapters on bivalirudin
Author:
Publisher:
ISBN:
Category : Cardiovascular system
Languages : en
Pages : 1398
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Book Description
Author: Catherine Nelson-Piercy
Publisher: CRC Press
ISBN: 1841847380
Category : Medical
Languages : en
Pages : 332
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Book Description
The management of the pregnant woman with a medical problem presents the clinician with particular problems. An understanding of how a medical disease affects pregnancy and how any pre-existing medical condition is affected by pregnancy is required. In addition the clinician must take into account the second patient - the fetus - and be aware of ho
