Akusherstvo i ginekologii͡a
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Akush Ginekol (Sofiia) · Jan 2007
Case Reports[Paroxysmal tachicardia during pregnancy, electro-cardioversion, delivery].
We present a rare case of high-stage paroxysmal atrial tachycardia, clinically exhibit during pregnancy. Refers to 29-years-old pregnant woman, without preceding heart disease. With advancement of pregnancy tachycardial bout getting up daily, its severity increased gradually. ⋯ Because of new extremely acceleration of heart rate and unstable hemodynamics during the supportive therapy, is undertaking second electro-cardioversion. We applied anti-recurrent drug therapy. At 36 weeks gestation, the patient manifested resistance to applied therapy, which imposed pre-term delivery by elective caesarean section in interest of the mother and fetus, by the presence of cardiologist.
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It is observed that the combined oral hormonal contraceptives affect significantly haemostasis and induce changes of many factors taking part in it. Some of them increase their concentrations, while others decrease. The changes in haemostasis during oral contraceptive use with third generation gestagens and same dose of ethynilestradiol and the biological plausibility for eventually increased risk of VTE at women using these drugs, are not cleared and continue to be an object of investigation and discussion.
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Pentalogy of Cantrell is a rare congenital anomaly consisting of the following features: (1) midline supraumbilical abdominal wall defects (2) deficiency of the anterior diaphragm (3) defects in the diaphragmatic pericardium (4) defects of the lower sternum (5) congenital cardiac malformation We report a case of Cantrell's Pentalogy with rare cardiac malformation single ventricular chamber with two atria ventricular valves and pulmonary stenosis. The newbom had multiple congenital anomalies: omphalocele, thoracoabdominal ectopia cordis, diaphragmatic defect, short sternum/sternal defect and dysmorphic features--microcephaly, hypertelorism, down slanted palpebral fissures, micrognathia, low set ears.
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Akush Ginekol (Sofiia) · Jan 2006
Review[Modern aspects of perioperative analgesia by using nonsteroidal anti-inflammatory drugs in gynecology (Part II)].
It is an actual problem how to treat acute postoperative pain by using nonsteroidal anti-inflammatory drugs. Modern concepts for perioperative administration of these drugs are very important for the usual practice. The possibilities for optimal application of nonselective or selective COX-2 inhibitors are examined in this review.