Wundheilungsprobleme
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Die vorliegende Schrift ist als klinische Studie zu werten. Beobachtungen am Krankenbett gaben die Veranlassung, nach Grunden fUr eine in den letzten J ahren haufiger eingetretene besondere Art von Wundheilungsstorungen, namlich von Wunddehiscenzen nach Laparotomien, zu suchen. So kam eine intensivere Be- schiiftigung mit den Wundheilungsproblemen uberhaupt zustande. 1m AnschluB an mein Referat auf dem Deutschen ChirurgenkongreB 1958 entstandener Mei- nungsaustausch mit einigen Kollegen, die nunmehr gleiche Beobachtungen eben- falls machten, war dann der Grund fUr mich, die meinem Referat zugrunde- liegenden ausgiebigen Studien zusammenzufassen und mitsamt der verstreuten Literatur Interessenten zuganglich zu machen. Der Springer-Verlag kam meinen Wunschen bereitwillig entgegen, und ich mochte ihm dafiir herzlichen Dank sagen. Nicht Tatsachen zu bringen - auBer den rein klinischen Daten -, sondern die Problematik des Fragenkomplexes unter heutigen Aspekten aufzuzeigen und damit zu weiterem Beobachten und Forschen anzuregen, war meine Absicht. Berlin, im Dezember 1958 WERNER BLOCK Inhaltsverzeichnis 1. Einleitung. . . . . . . . . . . 1 II. Begriffsbestimmung und f)tatistik 1. "Aseptische" Wundheilung und Wundinfektion 2. \Vunddehiscenzcn 2 a) Eigene Zahlen uber Wunddehiseenzen nach Laparotomien. 3 b) Klinische Erscheinungen der \Vunddehisccnz 4 c) Prufung der Wundheilung. 5 III.:: -';onnale Wundheilung . . . . 5 1. Physiologische Bedingungen . 6 a) \Vundstoffwechsel .... 6 b) Allgemeinreaktionell durch die WUllde und Beeinflussung der Wunde dureh den Allgemeinzustalld 6 x) Eiwei13haushalt . . 7 (3) Wasserhaushalt .. 8 y) Allgemeilleinflusse .
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