Akusherstvo i ginekologii͡a
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Akush Ginekol (Mosk) · Jan 1991
Comparative Study[Changes in various indicators of secondary hemostasis in physiological labor and cesarean section in relation to the type of general anesthesia].
Combined ketamine++ anesthesia and combined neuroleptic anesthesia were examined for impact in cesarean section. This revealed that the former anesthesia caused moderate hypercoagulative changes in the hemostatic system and a drastic increase in fibrinolysis at the end of the operative intervention. Early in the postoperative period, general combined neuroleptic anesthesia induced a profound hypercoagulation and inhibited fibrinolysis that preserved, which might result in thrombophilic events.
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Akush Ginekol (Mosk) · Dec 1990
[Characteristics of infusion therapy in parturients with gestosis after cesarean section].
The paper addresses fluid therapy after cesarean section in toxemic parturients. A comparative study involved 130 parturients and 540 women with a history of toxemia of pregnancy of variable severity. It was demonstrated that the routine fluid therapy employed in women with mild toxemia was not suitable for parturients with Grade III pregnancy-associated renal disease and preeclampsia. This is explainable by 3 types of abnormality in the colloid oncotic pressure (hyper-, hypo- and normo-osmolar++ dysosmia); most of the patients presented with hypo-osmolar and hypo-oncotic++ plasma states coexisting with impairment of renal excretory and concentrating function.
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Akush Ginekol (Mosk) · Aug 1990
[Clinico-morphological characteristics of fetuses and newborn infants of mothers with hemorrhagic shock].
A clinical and morphological analysis has been done using 24 obstetric histories of mothers with hemorrhagic shock (HS) and autopsy protocols of fetuses and newborns who died ante-, intra- or postpartum. Maternal HS was related to placenta previa and presented as a poor general status and microcirculatory disorders, respiratory and adrenal insufficiency. Histologic and electron microscopic studies showed fetal and neonatal lesions in organs and tissues which might be interpreted as irreversible shock. Reduction of neonatal mortality dictates further efforts in the prevention of hemorrhagic complications in parturients.