Ginecología y obstetricia de México
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With the purpose to determine the certainty of diagnosis of the most frequent gynecological pathology, susceptible of surgical treatment urgent or programmed, we studied 104 cases during a periods of nine months. In each case, we performed a clinical diagnosis, by ultrasound and surgery. Finally, we compared them with the histopathological diagnosis, obtaining the sensibility, the specification, and the predictive value for each one the methods and the most often pathologies.
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A case of periobstetric cardiomyopathy is presented, it was identified at 32 weeks, because of congestive cardiac failure, the obstetric event was resolved by cesarean section due to low fetal reserve, clinical and hemodynamical criteria for diagnosis are reviewed and also therapeutic alternatives are discussed.
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Clinical Trial Controlled Clinical Trial
[Tramadol chlorhydrate in the management of gyneco-obstetric pain].
An open prospective and longitudinal study was carried out including 102 female patients whose pain was due to gyneco-obstetric surgery. The average age was 31.5 years and the average weight was 67 kg. The tramadol hydrochloride was administered as a single 100 mg dose p.o. or i.m., when moderate to intense pain was present. ⋯ The analgesia began after an average of 17 minutes i.m. and 28 minutes p.o. The identified adverse effects were: nausea 1%, vomiting 5% and somnolence 8%. In accordance with the obtained results, we conclude that tramadol chlorhydrate is a good alternative for the treatment of moderate-to-severe acute pain of obstetric and gynecological origin.
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Comparative Study
[Difference between preeclampsia, HELLP syndrome and eclampsia, maternal evaluation].
120 cases of severe preeclampsia without HELLP Syndrome (hemolysis, elevated liver enzymes and low platelets), 120 cases of HELLP Syndrome without eclampsia and 119 eclamptic patients without HELLP were analyzed. The objective was to found differences in the maternal morbidity and mortality. Eclampsia was found in those patients 20 years or less, nulliparous and with 37 o more weeks of gestation. ⋯ In summary, HELLP Syndrome have different pathophysiologic characteristics than severe eclampsia and eclampsia. This fact was showed by the great difference in the maternal morbidity and mortality. We suggest a more aggressive and intensive care of HELLP Syndrome patients.
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During the daily practice of Gynecoobstetrics there is a great relationship with anesthetic procedures. It is very important to know one of the most frequent complications of peridural blockade, as is accidental puncture of duramater. A review of this complication will be done, in order to help the physician to face this complication with an ample knowledgement, in order to be able to start opportune and adequate treatment.