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[Recognition of the problem and significance of genitourinary leptotrichosis]. 泌尿生殖系统钩毛病的问题认识及意义
B Berić, J Durdević, D Nikolin

Out of a total of 54,236 outpatient women treated from 1975 up to December 1983, there were 515 cases (relative value 0,010) of leptotrichosis diagnosed on the basis of the analysis of the vaginal smear stained by the Gram and Pappenheim method. Out of this number, there were 664 pregnant women in whom leptotrichosis was diagnosed in 8 cases (relative value o.12). In the urine samples of 5 married couples, the wives being ill with leptotrichosis, the disease was diagnosed in 3 cases, while in men in none. The question is whether leptotrichosis is only a genital or genito-urinary infection in women possibly also in men.

从1975年到1983年12月,共有54,236名门诊妇女接受治疗,其中515例(相对值为0,010)是根据格拉姆和帕本海姆法染色的阴道涂片分析诊断出的钩毛病。其中,664名孕妇中有8例被诊断为钩毛病(相对值0.12)。在5对患有钩毛病的已婚夫妇的尿液样本中,有3例被诊断患有该病,而男性则没有。问题是钩毛病是否仅仅是女性的生殖器或泌尿生殖系统感染,也可能是男性的。
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引用次数: 0
[Ganglioneuroma of the suprarenal glands in gynecologic practice]. [在妇科实践中的肾上腺上腺神经节神经瘤]。
D Vasić, D Stepanović, V Rakić

A 41-year-old patient with enormous tumour in the abdomen, which by its form, size, and position corresponded to a large ovarian tumour, suddenly developed the picture of acute abdomen. Emergency laparotomy revealed a ganglioneurinoma of the right suprarenal gland, 13 X 18 X 20 cm in size, weighing 5.5 kg. The tumour was removed in toto. The postoperative course was normal. So was the finding of the follow-up examination after six months.

患者41岁,腹部巨大肿瘤,其形态、大小和位置与卵巢大肿瘤相对应,突然出现急腹症。急诊剖腹探查发现右侧肾上腺神经节神经鞘瘤,大小13 X 18 X 20 cm,重5.5 kg。肿瘤全部切除了。术后疗程正常。六个月后的随访检查结果也是如此。
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引用次数: 0
[The role of clinical examination in the diagnosis of breast cancer]. 【临床检查在乳腺癌诊断中的作用】。
B Gorisek

In Slovenia and Croatia breast cancer is registered as the most frequent kind of cancer in women. In 2951 women clinical findings were compared to those obtained by mammography, thermography, palpation and cytology. The analysis showed a statistically significant difference between them. In the analysed group, 41 patients with cancer were detected, of whom only in 28 (76%) was the disease confirmed by the clinical examination. The results of clinical examinations not satisfactory, especially in the early stage of carcinoma.

在斯洛文尼亚和克罗地亚,乳腺癌是妇女中最常见的癌症。2951名妇女的临床表现与乳房x线摄影、热成像、触诊和细胞学检查结果进行了比较。分析显示他们之间有统计学上的显著差异。在分析组中,检测到41例癌症患者,其中只有28例(76%)经临床检查确诊。临床检查结果不令人满意,特别是在早期的癌症。
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引用次数: 0
[Pregnancy and labor in women with heart diseases]. [心脏病妇女的怀孕和分娩]。
F Mikulandra, I Merlak, M Perisa, M Kimer

In a ten-year period the frequency of pregnant women with heart disorders amounted to 0.50%. In 83.87% of cases the disorders were acquired and in 16.13% congenital. According to the functional condition of the heart, 95% of the women observed belonged to the first and the second stage. In 82.26% the deliveries were spontaneously vaginal. The frequency of cesarean section proved four times as frequent as that in the control group (P less than 0.05). In not a single case was heart trouble alone the indication for cesarean section. Newborn children of women with heart disorders were slightly asphyxial (Apgar index 7-4) in 9.68% of cases as compared with 5.0% in the control group (P less than 0.05). The average birth mass of these newborns was 3491.9 +/- 2 SD 780.5 g and that in the control group 3,767.5 +/- 2 SD 824.2 g (P less than 0.05). Sixteen (25.8%) newborns in the early neonatal days had one or more neonatal complications, while those in the control group developed such complications in 14.2% of cases (P less than 0.05). Not a single child died perinatally. In the course of pregnancy, delivery, and puerperium only 3 (4.84%) women received cardiotonics and 22 (34.84%) antibiotics. The second day after delivery one puerpera developed paroxysmal tachycardia, while in all the remaining women the course of pregnancy, delivery, and puerperium was normal.

在10年期间,孕妇患心脏病的频率为0.50%。83.87%为获得性,16.13%为先天性。根据心脏功能状况,95%的观察女性属于第一阶段和第二阶段。阴道自然分娩占82.26%。剖宫产发生率为对照组的4倍(P < 0.05)。并非只有心脏病是剖宫产的指征。心脏疾病妇女新生儿轻度窒息(Apgar指数7-4)发生率为9.68%,对照组为5.0% (P < 0.05)。新生儿平均出生质量为3491.9 +/- 2 SD 780.5 g,对照组平均出生质量为3767.5 +/- 2 SD 824.2 g (P < 0.05)。16例(25.8%)新生儿早期出现一种或多种新生儿并发症,而对照组出现一种或多种新生儿并发症的发生率为14.2% (P < 0.05)。没有一个孩子死于围产期。在妊娠、分娩和产褥期,仅3名(4.84%)妇女接受了强心剂治疗,22名(34.84%)妇女接受了抗生素治疗。分娩后第二天,一名产妇出现阵发性心动过速,而其余所有妇女的妊娠过程、分娩过程和产褥期均正常。
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引用次数: 0
[The frequency of premature labor before and after administering beta-sympathomimetics in clinical practice]. [临床应用β -交感神经模拟药前后早产的频率]。
N Durić, N Smiljanić, M Podobnik

From 1971 to 1975, when beta sympathicomimetics were not used, from total 13 561 deliveries 6.06% were preterm deliveries. In years 1976-1980, when these tocolytics are routinely used from total 15 242 deliveries 5.24% were preterm deliveries. Significance is statistically characteristic, p = = 0,01. In the anamnesis of all parturients in both periods, frequency of factors which effect on the rate of preterm deliveries is equal.

从1971年到1975年,当不使用β同情模拟器时,在总共13561例分娩中,6.06%是早产。1976-1980年间,当常规使用抗早产药物时,15242例分娩中5.24%为早产。显著性具有统计学特征,p = = 0.01。在这两个时期的所有产妇的记忆中,影响早产率的因素的频率是相等的。
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引用次数: 0
[Prenatal ultrasonic diagnosis of skeletal malformations]. 【产前超声诊断骨骼畸形】。
S Cecuk, J Polak, M Plesa, S Jukić, V Gorski

Two cases of skeleton malformations found by ultrasonic diagnostics are described. One was osteogenesis imperfecta and other achondroplasia. The possibility of malformation was postulated in 36th gestation week in the first case, and in 37th gestation week in the second. The authors discuss on malformations and their early diagnosis.

本文描述了两例超声诊断发现的骨骼畸形。一是成骨不全和软骨发育不全。第一例妊娠第36周,第2例妊娠第37周,推测胎儿可能出现畸形。作者讨论了畸形及其早期诊断。
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引用次数: 0
[Lipoleiomyoma of the uterus]. [子宫脂质肌瘤]。
M Marcikić, A Trosić, N Ljubojević

A case of lipoleiomyoma uteri in a 44-year old women is presented. The tumor, 9 cm in diameter, was situated beneath the serous membrane, at the back wall. There were also smaller leiomyomas, but the tumour described differed from them in being pale-yellow and having a somewhat softer consistency.

我们报告一位44岁女性的子宫脂质肌瘤病例。肿瘤直径9厘米,位于浆膜下的后壁。也有较小的平滑肌瘤,但所描述的肿瘤与它们不同,呈淡黄色,稠度稍软。
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引用次数: 0
[Ultrasonically guided puncture of nonpalpable breast cysts]. 超声引导下不可触及的乳腺囊肿穿刺。
V Vlaisavljević

The technique and the success of ultrasonically guided punctures of nonpalpable breast cysts are presented. A total of 43 cysts were punctured. The average lesion diameter (means +/- SD) was 16.4 +/- 5.4 mm. The puncture was not successful in 20.9% of cases. The cell material obtained by puncture was adequate for analysis in 32 (74.4%) cases, in 11 (25.6%) cases the aspirates were not suitable for the setting of a diagnosis because of an insufficient number of cells or the absence of the cell material. Inflammation as a complication of the intervention was registered twice (4.6%).

本文介绍了超声引导下穿刺乳腺不可触及囊肿的技术及成功经验。共穿刺43个囊肿。平均病变直径(平均值+/- SD)为16.4 +/- 5.4 mm。20.9%的病例穿刺不成功。32例(74.4%)穿刺获得的细胞材料足以用于分析,11例(25.6%)的抽吸物不适合诊断,因为细胞数量不足或缺乏细胞材料。炎症作为干预的并发症记录了两次(4.6%)。
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引用次数: 0
[The effect of delayed insemination on fertilization in vitro and the development of human embryos]. [延迟授精对体外受精和人类胚胎发育的影响]。
E Maćas, E Suchanek, V Grizelj, V Simunić, I Puharić, P Drobnjak

Extracorporeal fertilization of 363 oocytes was applied in 148 patients with tubal infertility. The aspiration of the follicles was performed 36 to 38 hrs after the onset of the endogenous LH rise or 36 hrs after injection of hCG. Oocytes maturity was evaluated on the basis of the morphological appearance of the cumulus oophorus. The eggs were incubated in culture medium before insemination. The duration of delayed insemination had a marked effect on the proportion of fertilized oocytes and the development of embryos (X2 = 10.34, P = 0.05). After maturation of 1.5 to 3.5 hrs, minimal preovulatory oocytes were fertilized and developed to embryos. Maturation of 3.5 to 5.5 hrs increased the number of fertilized oocytes from 56% to 71.7% and the number of embryos from 50% to 55.1%. After 5.5 to 7.5 hrs of maturation significantly more fertilized oocytes (t = 2.4, P less than 0.02) and developed embryos (t = 2.41, P less than 0.02) were obtained. Preincubation of intermediary preovulatory or immature oocytes had no beneficial effect on the fertilization rate and the development of embryos.

应用363个卵母细胞体外受精治疗输卵管性不孕症148例。在内源性LH升高后36 ~ 38小时或注射hCG后36小时进行卵泡抽吸。根据卵积云的形态形态来评价卵母细胞的成熟度。授精前将卵在培养基中孵育。延迟授精时间对受精卵比例和胚胎发育有显著影响(X2 = 10.34, P = 0.05)。成熟1.5 ~ 3.5小时后,少量的排卵前卵母细胞受精并发育成胚胎。成熟3.5 ~ 5.5小时后,受精卵数从56%增加到71.7%,胚胎数从50%增加到55.1%。成熟5.5 ~ 7.5 h后,受精卵数量(t = 2.4, P < 0.02)和胚胎发育数量(t = 2.41, P < 0.02)显著增加。中间排卵前卵母细胞或未成熟卵母细胞的预孵育对受精率和胚胎发育无有利影响。
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引用次数: 0
[Genetics, the law and pregnancy]. [遗传学,法律和怀孕]。
N Canki, S Rainer

Paraphrasing the recent Milunsky's commentary, authors emphasise the doctor's duty and the role in preventing the birth of abnormal children.

改写最近米伦斯基的评论,作者强调医生的责任和作用,以防止异常儿童的出生。
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引用次数: 0
期刊
Jugoslavenska ginekologija i opstetricija
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