Akusherstvo i ginekologii͡a
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Akush Ginekol (Sofiia) · Jan 1996
[An alternative method for treating headache after spinal anesthesia in cesarean section].
From pregnant women, delivered with section caesarean and spinal anaesthesia 22%-36% have complained of headache. Its treatment is difficult. A group of 35 pregnant women aged between 22-34 years have received headache after spinal anaesthesia for caesarean section. ⋯ The number of procedures varied between 1 and 3. The author reports the following results: headache passed in 30 women after 1 procedure, in 4--after 2 and in 1--after 3 procedures. The author concluded that the method is effective.
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The authors have studied the evolution of the pregnancy and delivery in 48 women with deformations of the pelvis, who have given birth at the Medical University, Pleven, for a period of 5 years. Luxatio coxae congenita (L. C. ⋯ The higher rate of c. s. is more evident in fractured and deformed pelves, while in luxation and especially in the bilateral L. C. C. only 13 have operated.
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Akush Ginekol (Sofiia) · Jan 1993
Comparative Study[The effect of different types of premedication on gastric juice volume and pH].
60 pregnant women and 60 parturients treated with selected surgery were studied according to the influence of different types premedication on the gastric juice volume and pH. Parturients were divided into six groups (AI-AVI) with 10 participants in each one. Groups were comparable for a variety of signs-age, type and duration of the surgical procedure and methods of carrying out the general anaesthesia. ⋯ Patients from group BVI received as a premedication for 2 hours before the beginning of anesthesia gastrozepin 2 tabl. (50 mg) per os and atropine in the same dosage as the patients from group BII. Gastric juice was taken by means of nasogastric tubing immediately before premedication, introduction in anesthesia and its end to fix its pH. The volume of gastric juice generated during the surgical procedure was determined before extubation.(ABSTRACT TRUNCATED AT 250 WORDS)
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Akush Ginekol (Sofiia) · Jan 1992
Review Case Reports[The "splenic emergency syndrome" during pregnancy (a report of 2 cases)].
The syndrome "urgency of lienal origin" during a pregnancy consists of two syndromes--violent spontaneous pain in the left hypochondrium or in the epigastrium, shortly followed by haemorrhagic shock. Occasionally some other symptoms are present--nausea, vomiting, powerless prolonged labor, innervation of the phrenic nerve. The cases of spontaneous spleen rupture as well as ruptures of splenic vein or artery also assessing to this syndrome. ⋯ This is the sixth similar case described in literature till 1978. The second case presented--a spontaneous lienal rupture, is very rare. The favourable prognosis is entirely determined by prompt diagnosis.
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The spinal opioid anaesthesia indicated its onset in 1982 with the report of Mircea et al. on its usage in surgery. Our aim was to study the possibilities for the usage of Petidine as a single drug for anaesthesia in caesarean section as well as its effect on the newborns. ⋯ The authors think that the spinal opioid anesthesia with Petidine can be used in caesarean section. Infants are born with very good clinical state, ABB and gases in blood. capillary blood within the first hour after delivery.