PubMed Health⌕ Search

Biomedical subjects

S Aćimović

Publications and source records attributed to S Aćimović.

5 recordsLinked to original sources
PubMedDate not supplied

[Results of combined therapy of small cell bronchogenic carcinoma in a 5-year period (1984-1988)].

Within the five-year period (1984-1988) the oat cell bronchogenic carcinoma was diagnosed and treated in 151 patients. Analysed were 74 patients having received complete treatment. Patients with disseminated form received only polychemotherapy in 6 cycles (cyclophosphamide, doxorubicin, vincristine and etoposide) and those with limited disease also received additional, local-regional radiotherapy of 45-50 Gy. In complete respondents preventive brain irradiation was applied. In selected patients with initial forms of the disease surgical resection with additional polychemotherapy were applied. The best survival showed respondents with limited disease and operated patients. Average survival of the whole group was 72 weeks. One year survived 31 out of 74 (41.9%) patients and two years survived 10 out of 74 (13.5%) patients.

Carcinoma, Bronchogenic↗
PubMedDate not supplied

[Long-term home oxygen therapy].

The analysis of medical reports was done for 30 patients in five years period (1988-1992) who received long-term oxygen therapy in home environment. The average values of respiratory functions were: forced vital capacity-43.3%, forced expired volume in the first second-27,4%; partial oxygen pressure in the arterial blood at rest-51 mmHg (6.8% kPa); partial carbon dioxide pressure in arterial blood at rest-46.2 mmHg (6.43% kPa) and oxygen saturation of hemoglobin-84.6%. After introduction of the constant oxygen therapy with flow of 1 to 2 l/min the values of arterial blood gasses at rest were: PaO2: 74.5 mmHg (9.94 kPa), PaCO2: 44.65 mmHg (6.22 kPa), the average value of SAT 93.4%. The average duration of oxygen therapy was 18 months; 11 patients died, with the average survival time under the oxygen therapy of 12.6 months. As the source of oxygen 18 patients used electric concentrator, and 12 of them the compressed gas in steel bottles.

Aged↗
PubMedDate not supplied

[Personal experience in the treatment of tuberculosis in patients in war areas].

In the four-year period (1991-1995), 96 tuberculosis patients from the war areas of former Yugoslavia were treated in the Clinic for Lung Diseases of Military Medical Academy, that makes 31% of total number of sick and treated for tuberculosis-309 (100%). In group I (patients from war areas) there were 45 cases of cavernous pulmonary tuberculosis (47%), 28 bilateral (29%), 16 pleurisy (16.7%) and 6 cases of extensive pulmonary tuberculosis (5.1%). Among 213 patients (100%) from group II (patients from FR Yugoslavia), 81 patients had cavernous pulmonary tuberculosis (38%), 49 patients had bilateral (23%), 33 patients had pleurisy (15.5%) and 6 patients had extensive pulmonary tuberculosis (2.8%). In group I the diagnosis was bacteriologically and/or histopathologically proved in 94.8% cases: by finding of acid-resistant bacilli in sputum and other biological materials in 69 patients (72%), by positive Löwenstein's cultures in 73 patients (76%) and by histopathological result of tuberculosis inflammation in 34 patients (35.4%). In group II tuberculosis was bacteriologically and/or histopathologically proved in 134 patients (63%) by acid-resistant bacilli in sputum and other biological materials, in 141 patient (66%) by positive Löwenstein's culture and in 71 patient by positive histopathological results. Pulmonary tuberculosis in war areas is characterized by greater frequency of severe clinical forms (cavernous, bilateral and extensive) and by high direct bacillarity.

Adult↗
PubMedDate not supplied

[Endobronchial metastases in extrapulmonary malignant tumors].

Endobronchial metastases of extrapulmonary malignant tumors are very rare and they appear in 1-2% of all the pulmonary metastases cases. By their endoscopic presentation, they are similar to primary bronchogenic carcinoma. Eleven patients with endobronchial metastases were presented, 8 male and 3 female. The average age was 58.27 years (from 37 to 72 years). Primary renal carcinoma existed in 2 patients. The one was operated 5 years before the metastases appeared in bronchus, and the metastases in bronchial wall contributed to the discovery of primary tumor in the other patient. Endobronchial metastases appeared in 3 patients, 2 years after the surgery of malignant colonic or rectal tumor, and in fourth patient it appeared 5 years after the surgery. One female patient sustained mastectomy and the radiation therapy was performed 11 years before the bronchial metastases occurred and the other female patient had the disease revealed a year ago and the polytherapy was performed. In the female patient with non Hodgkin Lymphoma, the change in bronchus was revealed simultaneously as the primary disease. Endobronchial metastases appeared in 2 patients two years after the surgery of malignant melanoma. The disease diagnosis was set by clinical-radiological examination, by endoscopy and by the comparison of histopathologic finding of primary carcinoma and metastases.

Adult↗