Branchial Cleft Anomalies: A Review of 87 Cases Treated at the Toronto General Hospital

The embryology, anatomy and pathology of branchial cleft anomalies are discussed and 87 cases reviewed.The most frequent anomaly was branchial cleft cyst, of which there were 77 cases. Treatment in all cases consisted of complete excision.There were five cases of external branchial sinus and five cases of complete branchial fistula. Sinograms were helpful in demonstrating these lesions. Excision presented little difficulty.No proved case of branchiogenic carcinoma has been found in the Toronto General Hospital. Five cases are described in which the original diagnosis was branchiogenic carcinoma—in four of these a primary tumour has already been found. The authors believe that the diagnosis of branchiogenic carcinoma should never be accepted until repeated examinations over a period of at least five years have failed to reveal a primary tumour.     

Viral Infections of Toronto Children During 1965: II. Measles Encephalitis and Other Complications

Among 16 cases of measles encephalitis observed in Toronto during 1964 and 1965, including six who were stuporous or comatose on admission and five who presented with convulsions, measles virus was isolated from CSF of one patient, rising titres of measles antihemagglutinin were detected in another patient, and 14 showed high antibody titres in sera collected as early as two to five days after onset of the measles rash. Increasing levels of measles antibody were detected in paired sera from three of seven patients with uncomplicated measles, and elevated antihemagglutinin titres were found in 16 cases of measles without neural involvement. Measles virus was isolated from lung tissue of a fatal case of giant cell pneumonia. Administration of pooled human gamma globulin to one leukemic patient, and of leukocytes from a convalescent donor to another leukemic child, may have assisted their recovery from measles.     

洪堡大学Virchow后期临床教学医院和Robert—Rssle医院的外科和肿瘤外科系的研究概况

简要介绍了位于柏林的洪堡大学Ｖｉｒｃｈｏｗ后期临床教学医院的Ｒｏｂｅｒｔ—Ｒｏｓｓｌｅ医院的外科和肿瘤外科系的概况和与激光有关的研究项目。     

综合医院急诊科患者躯体化症状对其住院时间和住院费用的影响

目的:探讨躯体化症状对综合医院急诊科住院患者住院时间和住院费用的影响及躯体化症状自评量表在急诊科住院患者中的应用价值。方法:采用躯体化症状自评量表对100例急诊科住院患者进行心理状态评估,评分≤40分为低分组,40分为高分组,比较两组的一般情况及住院时间和费用,并对住院费用和时间的影响因素进行多因素分析。结果:100例患者中,SSS得分≤40分共73例,40分共27例,两组间年龄、性别分布比较有统计学差异,受教育程度、职业和病程等方面差异均无统计学意义。高分组患者年龄偏大(71.15±14.42 vs 61.62±14.66)岁,女性比例较高(59.2%vs 32.8%),住院天数较长(16.30±3.81 vs13.56±5.64天),住院费用较高(17922.55±1966.64 vs 14252.13±8655.71元)。多元回归分析结果显示住院时间与费用与患者的年龄、性别及躯体化症状有相关性。结论:躯体化症状是综合性医院急诊科住院病人常见症状,与年龄及性别相关,可能延长患者的住院时间和住院费用。躯体化症状自评量表具有较好的信度和效度,可应用于综合医院住院患者心理症状的筛查。     

A Survey of Hospital Infection in a Pediatric Hospital: Part I. Description of Hospital,Organization of Survey,Population Studied and Some General Findings

Of 17,836 children admitted in 1959, 6.5% developed infection following admission; most of these seemed to be hospital-acquired. Respiratory infections were commonest (2.7%), then gastroenteritis (1.3%), staphylococcal infections including miscellaneous and postoperative wounds (1.1%), pyrexias (0.5%), miscellaneous and post-operative wound infections due to other bacteria (0.4%), “communicable” diseases (0.3%) and monilial infections (0.2%). Incidences were highest in infants and on certain wards incapable of segregating all infected cases. Only 14.3% of infections were severe. They contributed to 16 deaths but not as the sole cause. Hospital infections made over 2070 extra patient-days necessary. Wound infection followed 3.1% of 5052 surgical operations-2.1% when considering only clean sites. Seventy per cent were staphylococcal; antibiograms suggested that some were not of hospital origin. Staphylococcal disease, present on admission or hospital-acquired, occurred in 2.6% of patients. None of these incidences seemed unduly high. Many varied factors underlie hospital infections, and complete control is unlikely with present knowledge and facilities.