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001-es BibID:	BIBFORM041221
035-os BibID:	(PMID)8698290
Első szerző:	Herczeg László (igazságügyi orvosszakértő)
Cím:	Morphological damage to the central nervous system (CNS) following open heart surgery / Laszlo Herczeg, Steve Gorombey, Miklos Vaszily
Dátum:	1996
ISSN:	0379-0738 1872-6283
Megjegyzések:	We investigated 40 patients who had died following open heart surgery between January 1990 and May 1992. Between this time, 703 open heart procedures were carried out at the University Medical School of Debrecen, 2nd Department of Surgery's Cardiac Surgery Unit with a mortality rate of 8.3%. We studied each individual's clinical records, autopsy findings, and histology of defined portions of brain tissue. Clinical information used were: sex, age, clinical stage (according to New York Heart Association (NYHA) classification) at time of surgery, type of procedure performed, and duration of time of extracorporeal circulation. Autopsy records collected and studied focused on the macroscopic and microscopic alterations in the CNS. The most common morphological findings in the CNS for the 40 studies cases were, cerebral edema in all cases, reactive microgliosis and nuclear pyknosis in most cases, and in a minority of the cases focal microscopic hemorrhage or focal microscopic white emolition. Also found were, destructive brain hemorrhage and global cerebral necrosis. Of the 40 cases studied there was only one case in which brain death was diagnosed perioperatively, and which was clinically diagnosed to be caused by global cerebral hypoxia.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Forensic Science International. - 79 : 2 (1996), p. 103-111. -
További szerzők:	Görömbey Steve Vaszily Miklós (1949-) (szívsebész)
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM041225
035-os BibID:	PMID:16929801
Első szerző:	Herczeg László (igazságügyi orvosszakértő)
Cím:	Open-heart surgery and Jehovah's Witnesses / L. Herczeg, J. Szokol, G. Horvath, M. Vaszily, A. Peterffy
Dátum:	2006
Megjegyzések:	aThe religious community of Jehovah's Witnesses holds that blood transfusion is against God's law. Therefore, surgical treatment of Jehovah's Witnesses is a great challenge for every surgeon, especially for cardiac surgeons because blood transfusion is frequently needed during such operations. In this study we summarize the experience with Jehovah's Witnesses who have undergone open-heart surgery in Debrecen from 1989 to 1999 due to various cardiac diseases. Applying a complex surgical procedure developed by the authors to minimize blood loss during operation, preserved blood products were omitted. Three patients out of twenty-four died during the postoperative period. The twenty-one longtime survivors showed significant improvement in their clinical stage during the mean follow up of 37.6 months. More and more operations are done successfully without blood or preserved blood products worldwide, so it could be said that nowadays surgical treatment of Jehovah's Witnesses has a lower risk than before.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban egyetemen (Magyarországon) készült közlemény
Megjelenés:	Medicine and Law. - 25 : 2 (2006), p. 233-239. -
További szerzők:	Szokol J. Horváth Géza (1968-) (kardiológus, szívsebész) Vaszily Miklós (1949-) (szívsebész) Péterffy Árpád (1938-2022) (szívsebész, mellkassebész)
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat
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