Przegla̧d lekarski
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Four patients with bacterial meningitis, previously anaesthetized epidurally, have been described. In one case the course of the disease was very serious and resulted in irreversible neurological lesion. Although epidural anaesthesia is considered to be a harmless procedure it can cause some purulent complications.
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Review Comparative Study
[Evaluation of worldwide diagnosis and treatment of cancer of the uterine cervix].
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The purpose of the study was to analyse relationships between the presence and magnitude of a regurgitant wave from the left ventricle to the left atrium and the state of the pulmonary circulation in patients with primary dilated cardiomyopathy. The study population consisted of 97 patients divided into three subgroups I--41 patients without the regurgitant wave, II--31 patients with the first-degree regurgitant wave, III--25 patients with the second-degree regurgitant wave. Diagnosis was based upon non invasive studies, cardiac catheterization and left ventriculography. ⋯ In contrast the patients with a large regurgitant wave (subgroup III) showed statistically significantly higher pulmonary artery pressures, higher total pulmonary resistance and pulmonary vascular resistance. In 64% of the patients of this subgroup the left atrium was said to be large. The results of the present study indicate that even not a large regurgitant wave (second-degree) from the left ventricle to the left atrium leads to secondary pulmonary hypertension in patients with primary dilated cardiomyopathy.
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Review Comparative Study
[Treatment of malignant neoplasms in pregnancy. II].
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The studies have been performed in 33 women aged 12 to 60 years, underwent gynecological laparoscopy in complex general anesthesia with intubation. The pneumoperitoneum was induced by CO2. Laparoscopy was made according to the H. ⋯ Patients showed no pathological changes when examined electrocardiographically, CTK, pulse frequency, total lung capacity, acid-base balance in the blood well as the CO2 blood concentration remained also within normal range. Above result showed that CO2 as a gas used for pneumoperitoneum induction during laparoscopy is a secure agent. Full security of the gas use in conditioned by caution concerning the lung ventilation, patient monitoring, the gas flow equal to 1000 ml/min during the pneumoperitoneum induction and the final intraabdominal pressure 17-18 mm Hg.