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Biomedical subjects

F H Dalicho

Publications and source records attributed to F H Dalicho.

8 recordsLinked to original sources

[The prognosis of early-diagnosed twin pregnancies and the modification of their perinatological data using an ultrasonic monitoring system].

We report on the outcome of 129 twin pregnancies, discovered in the first trimenon by ultrasound. 14 (11.9 per cent) of the diagnosed twin pregnancies terminated as an abortus, 10 (8.5 per cent) as births with only one child (twice fetus papyraceus) and in 79.7 per cent as real gemini. Perinatological data of these 94 twin births in 1982-1986 are compared with 103 gemini pregnancies in 1971-78, when sonography and diagnosis ante partum was hardly known. Both groups did not differ with regard to the premature child rate, length of gestation, birth weights and weight differences of both children. The rate of hypotrophic children was reduced to half, especially through reduction of hypotrophic term infants. The number of twins with low birth weight was reduced, but the weight group under 2000 g however was almost constant. Perinatal mortality, still-birth rate and infant-mortality dropped by 50 per cent.

Abortion, Spontaneous

[Metastasis of cervical cancer to the end phalanx of the small finger].

Case report on a diabetic patient aged 68 years, who was operated on a cervical carcinoma by the method of Wertheim-Meigs. 3 weeks later a panaritium of the right little finger developed. X-ray examination resulted an osteoclastic process. The histology of the amputated end limb of this finger demonstrated a metastasis of a squamous cell carcinoma. The patient died 49 days after operation. Autopsy found a massive development of tumor with multiple far metastases.

Aged

[Computer-assisted obstetric data collection and processing--trial with a system solution].

A system is introduced for the registration and utilization of obstetrical dates. It is based on a new birth journal and a file for date collection in agreement to that. With the aid of a bureau computer a short delivery report will be given for the out-patient department of post-clinical medical attendance, as well as a label with the most important obstetrical dates for the postnatal care will be printed. An extensive birth report can be requested. The voluminous obstetrical statistics will be concentrated in form of charts.

Female

[Amniotic fluid embolism caused by uterine rupture with severe coagulopathy].

There is reported on a 35 years old woman, who was delivered of her third child. Six days after the expected day of delivery labour was introduced. On the end of the second stage an amniotic fluid infusion happened. The patient was transferred to the ward for intensive therapy following initial treatment. Within four hours she received 22 units of blood and 27 units of coagulo-active substance because of severe coagulation defect. After restoration of coagulability of blood hysterectomy had to follow owing to uterine rupture which in the first instance was overlooked. Woman and child survived.

Adult

[Sonographic observations and difficulties in the differential diagnosis of an abdominal tumor in pregnancy].

Report about a big tumor in pregnancy showing solid and cystic parts by ultrasound. Primary it was described in the 23. gestational week laying above the umbilicus. During pregnancy it became smaller and changed its position. It was diagnosed as ovarian tumor. Operation 6 weeks after childbirth resulted a stuck myoma with regressive changes. The differentialdiagnostic difficulties and the therapeutical occurances are discussed.

Adult

[Prenatal sex determination using ultrasound].

The fetal urogenital region could be visualized by single routine sonography after the 20th gestational week in 66.4 per cent, after the 24th one in 74.4 per cent (n = 1002). Compared with the true sex of 875 children after birth 90.2 per cent of the girls and 75.9 per cent of the boys were determined correctly during pregnancy. The prenatal prognosis of a boy was confirmed in 90.3 per cent, of a girl only in 75.7 per cent. Multiple examinations make raise perceptibility and certainty. These differences and possible consequences in practice are discussed. In twin pregnancies final statements could not be afforded because of the more difficult conditions.

Diagnosis, Differential

[Consequence of pathologic ultrasound findings in pregnant women. A contribution to the diagnosis of abnormalities using ultrasound].

Report on three pregnancies in which fetal malformations were diagnosed by ultrasound. Possible consequences are discussed. That may be termination of pregnancy or conservative treatment directed to favourable conditions for possible surgical therapy post childbirth. The most difficult case however is the twin pregnancy with fetal malformations in one child.

Abnormalities, Multiple