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[Multiple gastric aspiration biopsies combined with endoscopic and histomorphological studies]. [多次胃抽吸活检结合内镜和组织形态学研究]。
Pub Date : 1991-01-01
V Matov, P Popov, A Mikhova

The study includes 50 patients with duodenal peptic ulcer who are classified into 2 groups: 1 gr. of 30 patients to whom biopsy was performed twice at a 14 day interval in order to study the reproducibility of the method in relation to the histological diagnosis; II group of 20 patients served for determination of the percentage of full value biopsies suitable for diagnosis. The results showed that the histological diagnosis based on the second examination coincided with the diagnosis from the first examination in 78% of the cases and by the single examination 33% of the biopsies showed gastritis of different severity from the rest. Most of the biopsies were of full value--84%, and the material of 19 mg obtained from mean 10 biopsies to a patient was sufficient. The endoscopic control following the biopsies revealed artificial erosions of incomplete type localized in the corpus and rarely single erosions in the antrum. The difference in the percentage of antral biopsies found by gastroscopy--6% and that found by histological examination--0.6% is a proof for the fundalization of the antral glands. The proposed method for multiple aspiration biopsy is informative, noninvasive and technically easy to perform.

该研究包括50例十二指肠消化性溃疡患者,将其分为两组:30例患者中有1例每隔14天进行两次活检,以研究该方法与组织学诊断相关的可重复性;第二组20例患者用于测定适合诊断的全值活检的百分比。结果显示,78%的病例第二次检查的组织学诊断与第一次检查的诊断一致,33%的病例单次检查的活检显示胃炎的严重程度与其他病例不同。大多数活检具有充分的价值(84%),每例患者平均10次活检获得19mg的材料是足够的。活检后的内窥镜检查显示不完全型的人工侵蚀局限于体部,很少有单一的上颌窦侵蚀。胃镜检查发现的胃窦活检百分比(6%)与组织学检查发现的胃窦活检百分比(0.6%)的差异证明了胃窦腺体的基底化。提出的多次穿刺活检方法信息丰富,无创,技术上易于执行。
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引用次数: 0
[The metastasis of malignant tumors--the therapeutic problem]. 【恶性肿瘤的转移——治疗问题】。
Pub Date : 1991-01-01
K Timcheva, D Todorov
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引用次数: 0
[Changes in the lungs in progressive systemic scleroderma]. [进行性系统性硬皮病患者肺部的变化]。
Pub Date : 1991-01-01
O Georgiev, Kh Marinov, R Rashkov, P Shoshkov

In 24 patients with progressive systemic scleroderma the respiratory disturbances, X-ray, scintigraphic and clinical deviations as well as the statistical correlations between them are described. The functional examination of respiration revealed lowered diffusion capacity, restrictive type of ventilatory failure and hypoxemia as the most frequent disturbances. The functional examination of respiration is correlated with the X-ray changes in the lungs in these patients.

本文报道了24例进行性系统性硬皮病患者的呼吸障碍、x线、影像学和临床偏差,以及它们之间的统计学相关性。呼吸功能检查显示扩散能力降低,限制性呼吸衰竭和低氧血症是最常见的障碍。呼吸功能检查与这些患者肺部x线变化相关。
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引用次数: 0
[2 cases of primary hyperaldosteronism]. [2例原发性高醛固酮增多症]。
Pub Date : 1991-01-01
N Nakov, V Vladov, V Kolarski, K Dodev, R Rashkov

Two clinical cases of women with primary hyperaldosteronism are reported. The patients presented with arterial hypertension, muscular weakness and paresthesia. Severe hypokalemia was found which was resistant to intravenous infusions of potassium but was successfully treated with low daily doses (100-200 mg) of spironolacton, an aldacton antagonist, in the course of 3-4 days. In one of the patients the primary hyperaldosteronism was related to aldosterone secretion by the cells of a malignant corticosteroma, proved histologically. A successful operation led to full recovery of the patient. In the other patient there was an idiopathic form of primary hyper aldosteronism caused by bilateral hyperplasia of the suprarenal cortex. Contemporary diagnostic and therapeutic possibilities in primary hyperaldosteronism as well as the importance of the examination of potassium serum level and kaliuria in the patients with arterial hypertension for the timely and successful diagnosis and treatment of primary hyperaldosteronism are pointed out.

本文报道两例女性原发性醛固酮增多症的临床病例。患者表现为动脉高血压、肌肉无力和感觉异常。发现严重的低钾血症对静脉输注钾有耐药性,但在3-4天内使用每日低剂量(100-200毫克)的一种醛缩酮拮抗剂螺缩酮成功治疗。其中一名患者的原发性醛固酮增多症与恶性皮质瘤细胞分泌醛固酮有关,经组织学证实。一次成功的手术使病人完全康复。另一位患者是由双侧肾上皮质增生引起的原发性醛固酮增多症的特发性形式。指出了原发性高醛固酮增多症的当代诊断和治疗可能性,以及动脉高血压患者血清钾水平和钾尿检查对及时成功诊断和治疗原发性高醛固酮增多症的重要性。
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引用次数: 0
[The use of immunoglobulin preparations in clinical practice]. 免疫球蛋白制剂在临床中的应用
Pub Date : 1991-01-01
D Monova
{"title":"[The use of immunoglobulin preparations in clinical practice].","authors":"D Monova","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23592,"journal":{"name":"Vutreshni bolesti","volume":"30 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12934266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The 25th anniversary of the Department of Allergology--let us look back at the past]. 【过敏科成立25周年——让我们回顾过去】。
Pub Date : 1991-01-01
Zh Mileva
{"title":"[The 25th anniversary of the Department of Allergology--let us look back at the past].","authors":"Zh Mileva","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23592,"journal":{"name":"Vutreshni bolesti","volume":"30 2","pages":"127-30"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13051545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Jaundice--the current successes in its diagnosis and treatment]. 【黄疸——目前诊断和治疗的成功案例】。
Pub Date : 1991-01-01
V Kolarski
{"title":"[Jaundice--the current successes in its diagnosis and treatment].","authors":"V Kolarski","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23592,"journal":{"name":"Vutreshni bolesti","volume":"30 2","pages":"20-8"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13051546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Hyperbaric oxygenation as a part of the treatment of chronic ulcerohemorrhagic colitis]. 高压氧合作为慢性溃疡出血性结肠炎治疗的一部分。
Pub Date : 1991-01-01
M Karkŭmov, N Nikolov, L Georgiev, D Mitreva, A Uzunova

34 patients with chronic ulcerohemorrhagic colitis in exacerbation were treated with hyperbaric oxygenation in addition to the routine therapy. Two chambers model "Dräger" 1000 and 1200 were used. The total course of treatment included 10-12 seances with 60-75 min. exposition each. All patients improved significantly after the first 5-6 seances. The results of the treatment back up the use of hyperbaric oxygenation in the treatment of chronic ulcerohemorrhagic colitis.

34例慢性溃疡出血性结肠炎加重期患者在常规治疗的基础上加用高压氧治疗。两室模型“Dräger”1000和1200。整个治疗过程包括10-12次降神会,每次60-75分钟。所有患者在前5-6次降神会后均有明显改善。治疗结果支持高压氧治疗慢性溃疡出血性结肠炎。
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引用次数: 0
[Prof. Vasil Mollov--an eminent Bulgarian internist (on the 115th anniversary of his birth)]. [Vasil Mollov教授——保加利亚著名内科医生(纪念他诞辰115周年)]。
Pub Date : 1991-01-01
P Glavchev
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引用次数: 0
[The characteristics of glucose tolerance in obesity]. 肥胖症中葡萄糖耐量的特点。
Pub Date : 1991-01-01
L Balabanski, R Naumova, I Timev

In 151 obese patients an oral glucose tolerance test was carried out. In 118 patients (mean relative body mass 161.5 +/- 39%) the test was normal. In 33 patients (mean relative body mass 167 +/- 32.1%) the glucose tolerance was decreased. In these patients the mean duration of the pathologic overmass was 15.2 +/- 4.8 years. 4 basic types of curves of pathologic tolerance are described. Obesity in men is significantly more frequently complicated with pathologic glucose tolerance than in women (42.2% vs 15.5%). The great variety of glucose tolerance curves in the obese patient is probably related to various types of response of the insulin secretion and the contrainsular mechanisms.

对151例肥胖患者进行了口服葡萄糖耐量试验。118例患者(平均相对体重161.5±39%)检测正常。33例患者(平均相对体重167 +/- 32.1%)糖耐量下降。这些患者病理性肿块的平均持续时间为15.2±4.8年。描述了病理耐受曲线的4种基本类型。男性肥胖合并病理性糖耐量的频率明显高于女性(42.2% vs 15.5%)。肥胖患者糖耐量曲线变化多端,可能与胰岛素分泌的各种类型反应及其抑制机制有关。
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引用次数: 0
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Vutreshni bolesti
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