Klinicheskaia meditsina
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We undertook prospective and retrospective analysis of 120 cases of A/HINI (2009) influenza complicated by pneumonia in pregnant women with the purpose of comprehensive assessment of these conditions taking into account relevant risk factors and preventive measures. Control groups were comprised of 100 pregnant women with uncomplicated influenza and 100 ones who did not fall ill during flu pandemic. The risk of severe disease and probability of its fatal outcome in pregnant women were 2.5 and 2.4 times those in the general population. ⋯ Combined prophylaxis reduced probability of pandemic influenza in pregnant women by 5.6-7 times. Severe forms of the disease were due to manifest symptoms of intoxication and concomitant pneumonia. The clinical picture of lethal cases was characterized by severe pneumonia with subtotal lung involvement, rapid progress of acute respiratory distress syndrome, and development of polyorgan insufficiency.
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Klinicheskaia meditsina · Jan 2013
[Peculiarities of clinical manifestations of chronic abdominal ischemia syndrome].
Peculiarities of clinical manifestations of chronic abdominal ischemia syndrome were studied. Clinical diagnostics of this condition encounters difficulties for the lack of pathognomonic symptoms, diversity of symptoms and similarity with other abdominal diseases. ⋯ Such features as the absence of treatment effect, increased frequency, duration and severity of abdominal pain, its extension to all parts of the abdomen and association with food intake, colonic dysfunction (meteorism, constipation) and reduced body mass require exclusion of this syndrome in patients with persistent abdominal pain. The data obtained may be used in early diagnostics of chronic abdominal ischemia syndrome and differentiate it from other abdominal diseases.