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Biomedical subjects

A Marković

Publications and source records attributed to A Marković.

At least 19 recordsLinked to original sources
PubMed1995

[Prevention of thromboembolic disease in gynecologic surgery].

We presented two groups of patients gynecologically operated and examined in a five year period; the first group of 11536 patients was under thromboembolic protection, whereas the second group of 8532 patients was without thromboembolic protection. Protective measures concerning thromboembolic disease were carried out by applying elastic stockings 24 hours before operation and by early post-operative getting up from bed. Low-molecular dextran was applied before operation as well as during the operation in the amount of 500-1000 ml. In risky patients with varicosities, recidive thrombophlebitis and cardiovascular diseases, we applied small doses of heparin subcutaneously two hours before the operation and after the operation every eight hours five days long. With such prevention of thromboembolic disease in gynecologic surgery, we achieved very favorable effects in reducing mortality to 0.05% concerning the operated, while it amounts to 0.3% in those who were without this kind of protection.

Female↗
PubMed1989

[Effect of intensive cardiotocographic monitoring on the time and method of completion of labor].

The authors examined selected groups of pregnant women so as to define the influence of intensive cardiotocographic monitoring of a foetus on the time and procedure of completing a labour. Two groups of pregnant women were selected: with high risk-pregnancy and with normal pregnancy monitored cardiotocographically. The results obtained were evaluated by means of the Hammacher scale. Two control groups were also examined--one group of high-risk pregnancies and the other of normal pregnancies, both monitored in the classical way (auscultation of the heart of a foetus, amnioscopy and obstetric examination). In the group of pregnant women monitored cardiotocographically, the authors found a good tolerance of the labour lasting more than 12 hours. The condition of mothers and foeti, in spite of high-risk pregnancies, was good. This was confirmed by high evaluation of newborns by means of the Apgar scale and the level of pH in the blood in the umbilical artery. In the group monitored by classical methods, from the moment of appearing a condition threatening the foetus, there was a tendency towards a fast completion of the labor. In some cases, this was worse, not better. By comparing a procedure of completing a labour in women monitored cardiotocographically and those monitored by classical methods the authors found that in the group monitored cardiotocographically labour was completed instrumentally in 25% of women, whereas in the group monitored classically--in 39% of women, which is statistically significant.(ABSTRACT TRUNCATED AT 250 WORDS)

Cardiotocography↗
PubMed1983

[Endotoxic shock in surgical practice].

The authors present patients who have had an endotoxic shock from various types of septic infections in the peritoneal cavity (ulcus perforatum, appendicitis perforata, cholecystitis purulenta, acute obstruction of the intestine, pleural empyema, bronchiectasiae, pulmonary abscess etc.). The author's intention is to indicate that the etiological factors can be different, and the pathophysiological and clinical treatment have certain specific characteristics. The basic pathophysiological postulates are: severe haemodynamic disorders and numerous functional troubles and disorders of certain organs and tissue's systems. Thereby, the therapy should always be casual as well as one slows down the haemodynamic and other pathophysiological disorders.

Humans↗
PubMed1982

[Dilemmas related to expectant or acute stages in closed injuries of the thorax and abdomen].

Non penetrating injuries of thorax, abdomen and thoraco-abdominal injuries, following its etiology, pathogenesis, and pathoanatomical substrate are also with consequent clinical manifestations, very complicated diagnostico-therapeutical problem. The surgeon is often i dilemma, which the therapy will be the most adequate for the patient and the time for the decision is usually short. In the report, various types of nonpenetrating injuries are analysed, and relating to its nature and the grade of severity, the proper therapy is discussed. We suppose that in situations like that, along with numerous tests, the explorations should be used and applied in doubtful cases, so it can only enables right diagnosis and in such way adequate therapy in the period of the time the surgeon can count on.

Abdominal Injuries↗