[Polymorphic clinical picture in a case of osteomyelosclerosis].
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Biomedical subjects
Publications and source records attributed to R Marciniak.
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Acute thrombosis within the lumen of the intracranial artery may occasionally be demonstrated on precontrast CT. The hyperdensity follows the course of the occluded segment of the vessel and an area of low attenuation in the territory of the involved artery is usually present, consistent with infarction. Usually, a single vessel is involved; occlusion of multiple branches occurs less commonly. This report demonstrates a case of diffuse bilateral thrombosis of the main arteries of the anterior circle of Willis.
The aim of this study was to evaluate bacterial flora infecting during the surgical procedures the peritoneal cavity and drains which were used after the surgery in 40 patients who underwent surgery for colon and rectum tumors. Smears from the peritoneal cavity, liquid removed from the drain taken at 3-4 days after the surgery and smears from the drain taken at the end of drainage of each patient were examined for bacterial content. The comparison of bacterial flora found in the peritoneal cavity with bacteria found in drains showed that the frequency of isolation of anaerobes decreased in contrast to aerobes which were more often cultured over the time of drainage (p < 0.05). Bacteroides spp, enterococci, and strains of Enterobacteriaceae were most often isolated from the peritoneal cavity, but over the time of drainage the frequency of isolation of coagulase-negative staphylococci including MRCNS increased as well as the number of patients infected with enterococci, whereas anaerobes and strains of Enterobacteriaceae were rarely isolated.
Tramadol hydrochloride was administered to: a) 90 patients who underwent various abdominal surgery (group A) immediately after operation; b) 50 patients with inoperable tumors of pharynx, stomach, pancreas, liver and biliary tract and colon (group B); c) 32 patients in surgical out-patient clinic (group C). Excellent and favourable results (group A - 87.8%; group B - 74%, and group C - 75%) and negligible adverse reactions advocate the use of tramadol hydrochloride both in in- and out-patient surgical clinics as an effective analgesic agent.
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