[The therapeutic approach in puerperal sepsis].
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Biomedical subjects
Publications and source records attributed to N Pranchev.
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A description of clinical approach to heavy pelvioperitonitis from genital inflammatory origin. Author emphasizes that early and precise assessment of clinical and laboratory parameters as well as the adequate treatment are of great importance for saving patient's life.
Author describes one case of septic metrothrombophlebitis and acute renal failure in pregnant woman as a result of spontaneous abortion. He discusses some clinical criteria of developing complications and proposes adequate therapeutic line of behaviour.
Authors points at that very often it is not possible to follow the routine scheme of medical behaviour in twins delivery. Every such case must be resolved individually according to concrete circumstances.
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Author provides a description of septic shock in a parturient. He analyses the clinical cause and proposes a therapeutic behaviour during labour and puerperium.
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Although the progress of the obstetrics and the availability of powerful antibiotics, the puerperal infections are main reason for the mother's morbidity and mortality. In connection with this problems are analysed the practical problems of puerperal infections in clinical therapeutical aspect.
The author describes a clinical case of a woman with tubal pregnancy and acute intraabdominal haemorrhage to emphasize the diagnostical and therapeutical problems. The initial diagnosis of the patient was intrauterine pregnancy and spontaneous abortion, proved by ultrasound examination. Due to the high qualifications and long clinical experience of the physician the exact diagnosis was made and the life of the woman was saved.
The author assessed the effect of a new medicine called Hevizos on patients with herpes simplex genital infection. He proved good therapeutic results in both pregnant and non-pregnant women as well as in parturients. Parturients needed longer period of treatment with Hevizos than pregnant and non-pregnant women.
The authors report a study on clinical and microbiological aspects of endometritis in 50 parturients. The analysis of results shows that major risk factors for the development of puerperal endometritis are urgent Caesarean section, premature rupture of membranes for more than 15 hours and surgical vaginal delivery. In conclusion the authors propose their actual clinical view on diagnosis and treatment of puerperal endometritis.
The cases of pregnancy in the rudimentary horn are probably the rarest Mullerian anomalies. More often the pregnancy ends with an abortion in the first or the end of the second trimester. Extremely rarely (1% of the cases) end with a live birth. The authors examine and describe a case which successfully ended with a birth of a live fetus in 32 gestation week after a rupture of cornual pregnancy. Special attention is paid to the diagnostical difficulties, which are characteristic for these cases. It is reasonable in the cases of extrauterine pregnancy to think of a pregnancy in the rudimentary horn as well.
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A preliminary study was carried out on women with acute condylomas, treated with the preparation solkoderm. Preliminary data from the clinical trial show that the preparation should be used in some women with acute condylomas of the vulva after available clinical evaluation.