Medicina
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During 1987-2000, in Clinic of Thoracic Surgery, Kaunas Medical University Hospital 30 patients with cardiac injuries and foreign bodies in the heart were treated. Average age of patients--37 years. ⋯ Two patients had foreign bodies in the heart (one--needles, one--bullet). We present two rare cases of foreign bodies in the heart.
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Evaluate efficacy of videothoracoscopic operations in diagnosis and treatment of lung and pleural diseases. In 1997-2001 186 operations were performed using videothoracoscopic devices in the Department of Thoracic Surgery, Institute of Oncology, Vilnius University. Fourty eight resections were performed: 4 (8%) lobectomies, 1 (2%) pericardial cystectomy, 3 (6%) simpatectomies, 3 (6%) intrathoracal lipomectomies, 1 (2%) removing calcificate, 3 (6%) resections of pericardium, 15 (30%) removing metastases, 12 (25%) hamartomas, 6 (13%) wedge resections of lungs tissue due to I(st) stage NSCLC performed for the elderly. One hundred thirty eight diagnostic procedures were performed in pts with various lung and pleura diseases: 66 (48%) biopsies of lungs tissue and 72 (52%) biopsies with chemopleurodesis. From oncological point of view videothoracoscopic operations are confirmed. These operations shortens hospitalization and combined treatment starts quicker. Middle period of hospitalization - 5 days. We had complications: 22 pts (12%) postoperative pneumonia, 4 pts (2%) - short duration pneumothorax, 1 pts (0.5%) - pleural empiema 1 pts (0.5%) - drop of the lung 1 pts (0.5%) - bleeding. After resections margins were free of tumor invasion. ⋯ 1. Video-assisted thoracic surgery (VATS) surgery is effective safe method of treatment for lung and pleural diseases. 2. In some cases VATS surgery is the only way to remove tumours, and it shortens hospital stay till 5 days. 3. VATS surgery is very effective in elderly patients with concomitant diseases. 4. Chemopleurodesis is very useful in treatment of pleural fluid.
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Comparative Study
[Application of methods for hemodynamic monitoring in critical cardiac pathology (an experimental model for assessment of hemodynamics)].
Hemodynamic assessment of critically compromised patients with cardiac pathology is one of the goals of recent diagnostics and treatment strategies. Different methods for assessment of hemodynamics are applied in clinical practice. However, applied methods (invasive and noninvasive) have specific advantages and disadvantages. ⋯ It were selected 6 laboratory animals of different weight and sex. 7 measurements of hemodynamics were performed. Standard methodics was successfully applied in the experimental model. Results, method limitations and recommendations for further studies are presented in the article.
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To examine the incidence of stroke during the first three years after a first-ever myocardial infarction. ⋯ The risk of stroke is identified as the highest one early after the myocardial infarction.
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Comparative Study
[Myocardial infarct morbidity and mortality trends in the Kaunas population 25-64 years of age during 1983-1998].
The aim of the present study was to evaluate the trends in attack rate, incidence, recurrence and 28-day case-fatality of myocardial infarction (MI) in Kaunas population aged 25-64 during 1983-1998, according to ischemic heart disease register data. The source of data--Kaunas population-based ischemic heart disease register. Trends were analyzed using method of linear regression on logarithms of the age-standardized annual morbidity and lethality rates. ⋯ Among Kaunas women, both attack rates of MI and recurrence rates of MI were increasing statistically significantly, although MI incidence rates remained stable during 1983-1998. The MI 28-day case-fatality rates tended to decrease among both men and women. Further efforts of the primary prevention of the ischemic heart disease are required in order to achieve stable decreasing trends in both attack rate and incidence of MI in the middle-aged Kaunas population.