Akusherstvo i ginekologii͡a
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Akush Ginekol (Mosk) · Jul 1990
Comparative Study[Differential prevention of recurrence of thrombosis during pregnancy].
Pregnancy in patients with a history of thrombotic complications puts them at a great risk of thrombosis and obstetric complications (hypoxia, intrauterine hypotrophy, bleedings). Functional strain of the hemostasis system occurs at the onset of pregnancy in women with a history of thrombotic complications without clinical symptoms of thrombosis. The incidence of disseminated intravascular coagulation with activation of both pro-coagulation and platelet-mediated hemostasis is 33% and that with activation of only platelet-mediated hemostasis is 64%. Differential use of antithrombotic drugs prevents thrombosis recurrence in 98% of patients.
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Akush Ginekol (Mosk) · Jun 1990
Case Reports[Clinico-hysteroscopic characteristics of chronic endometritis].
Clinical presentations of chronic endometritis have been compared with hysteroscopic findings in 60 women of reproductive age. Clinical and hysteroscopic data were indicative of a close correlation of gross endometrial abnormalities with certain symptoms of chronic endometritis and of severity and pattern of mucosal lesions of the corpus mucosa. Elucidation of clinical and hysteroscopic features of chronic endometritis permits a differential approach to the management of these patients.
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Akush Ginekol (Mosk) · Aug 1989
[Diagnosis and intensive therapy of obstetric coagulopathic syndrome in parturients in the early post-resuscitation period].
Therapeutic management of 42 parturients with the syndrome of obstetric coagulopathy who had suffered hemorrhagic shock in labor or early postpartum period was analysed. The signs of consumption coagulopathy were revealed in all the examinees. A decrease in the blood fibrinolytic activity observed in the presence of hypocirculation led to a microcirculatory crisis and the development of polyorganic failure. Agents of fibrinolytic activation and disaggregation from the nicotinic acid group or its derivatives, which were given in the postresuscitation period potentiated the therapeutic efficacy and therefore decreased lethality rates.
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A survey of cesarean sections performed between 1984 and 1987 has demonstrated a changing pattern of indications for abdominal delivery. An expanded range of indications for cesarean section in cases of breech presentation and maternal gestosis has been shown to reduce significantly perinatal losses. It is demonstrated that indications for vaginal delivery in patients with a uterine scar should be expanded through further search for new methods for the assessment of the scar as well as the improvement of the available ones. Intraoperative administration of antibiotics is a method of choice in preventive antibiotic treatment.