Akusherstvo i ginekologii͡a
-
Akush Ginekol (Sofiia) · Jan 2006
Review[Modern aspects of perioperative analgesia by using nonsteroidal anti-inflammatory drugs in gynecology (Part I)].
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.
-
Considering the high mortality and serios morbilidy associatent with neonatal infections. A competent diagnostic marker also needs to have reasonably high specificity. Good evidence exists to support the use of CRP measurements in conjunction with other established diagnostic tests (such as a white blood cell (WBC) count with differential and blood culture) to establish or exclude the diagnosis of sepsis in full-term or near-term infants. ⋯ PCT is a better marker of sepsis than CRP. The course of PCT shows a closer correlation than that of CRP with the severity of infection and organ dysfunction. Diagnostic markers are useful indicators of neonatal bacterial infections C-reactive protein (CRP), procalcitonin (PCT) Intralevcin 6, 8 are early sensitive markers of infection.
-
Akush Ginekol (Sofiia) · Jan 2006
Case Reports[Myasthenia gravis and pregnancy--a case report and review of the literature].
Myasthenia gravis is an acquired immune-mediated neuromuscular disorder, characterised by muscle weakness and fatigabillity of the voluntary muscles. It often affects women in the second and third decade of life with predilection of childbearing years (incidence in pregnancy--1:20,000). We present a case of a pregnant woman with myasthenia gravis and review the literature upon the problem - association of myasthenia gravis and pregnancy.
-
Akush Ginekol (Sofiia) · Jan 2006
Comparative Study Clinical Trial[Effectiveness of antihypertensive medications in patients with preeclampsia].
The presented study is retrospective and prospective in design. It is based on the medical records of Maternity hospital "Majchin dom" and planned studies during the period 1994-2005. 544 preeclamptic patients with singleton pregnancies were included. 334 (61.3%) of them were diagnosed with mild preeclampsia and 210 (38.7%) had severe preeclampsia. Blood pressure was monitored at least four times daily, depending on the severity of the case with mechanical manometer. ⋯ The mean values of systolic and diastolic blood pressure, measured before delivery were compared. No statistically significant difference between the groups was noticed. We were not also able to find statistically significant difference in blood pressure measurements before delivery, between patients with severe preeclampsia, treated with parenteral Nepresol or Chlofazolin.