Bøger af Ernst Derra

Daß die wirkliche Mortalität an Lungenkrebs aber noch eine erheblich höhere ist, als wir wissen, daran ist wohl kaum zu zweifeln. Zeigen doch alle größeren Sektionsstatistiken, wie häufig bei den bösartigen Geschwülsten der Lunge die Diagnose verfehlt wird. W. Tabelle 1. Sterbefallraten fiir Krebs und andere maligne Tumoren und für Krebs der Atmungsorgane in 14 ausgewählten Ländern (bezogen a tj 100000 Lebende). [Nach H. L. DuNN, J. Int. College of Sur- geons 23, (326 1955)} Krebs Krebs und andere maligne Tumoren der Atmungsorgane Land und Jahr ins i- männlich weiblich männlich weiblich gesamt gesamt England und Wales 147,8 8,4 12,9 4,3 1930-1932 145,5 143,0 1951 196,8 212,7 182,1 33,5 58,3 10,7 Schottland 10,6 1930-1932 146,9 141,4 157,1 8,0 5,6 50,9 1951 193,1 184,9 30,5 11,9 202,0 Finnland 107,0 13,6 1936-1938 107,6 108,3 7,8 2,3 132,8 21,5 38,0 1951 142,7 11\3,6 6,5 Schweiz 1929-1931 139,7 6,8 12,0 146,9 155,6 2,0 1951 180,1,19,3:33,8 192,1 204,7 5,5 Niederlande 1929-1931 125,7 4,7 7,2 2,2 121,7 117,7 29,7 1951 146,3 17,3 5,1 148,4 150,6 N euseeland 100,5 7,1 1930-1932 4,9 2,5 101,9 103,3 150: 3 1951 160,7 15,6 25,3 5,8 155,5 u SA 108,8 4: 3 1929-1931 3,1 1,9 97,4 86,3 136,1 14,7 24,4 1951 145,1 5,2 140,5 D änemark 1934-1936 161.

Following aseries of new, important accomplishments, which gave the way free for operative procedures at the heart and great vessels, this new branch of surgery has shown a rapid development. The respectable size of cardiac surgery is exempli6ed by the fact that about 8,100 cardiac operations have been carried out by the team of the Düsseldorf University Clinic within the last 17 years. By now, the majority of congenital as well as acquired lesions has become amenable to surgical treatment. In congenital heart disease, which is subdivided into 3 groups on the base of hemodynamic relations, about 22 lesions can be treated by corrective procedures at present. This nu mb er is increased considerably when the combination of single lesions is taken into account. From this large series coarctation of the aorta, valvular pulmonary stenosis, ductus arteriosus Botalli, atrial and ventricular septal defect and trilogy, tetralogy and pentalogy of Fallot have been selected as examples to outline the standard of operative technique and to discuss the obtained results with regard to world literature. Generally, operative risk has decreased considerably, there are, however, still variations with different lesions depending from complicating moments and from the grade of disease.