Zbornik. Vojnomedicinska akademija (Yugoslavia)最新文献

The study comprised 20 families with total of 83 members of whom 45 with hepatitis B. The selection was made of families with at least two members diseased which was the most common case, the marital couples being in question. Of other families, three families had three members and one family four members with hepatitis B virus infection. The largest number had severe clinical picture (44%) and 13 (28%) chronic active hepatitis. Four patients with the most severe clinical picture of chronic active hepatitis, together with HBeantigens, had positive HBeantigen for more than two years since the onset of the disease. Importance of damaged skin and mucosa in spreading of hepatitis B infection in family environment has been pointed out.

There have been examined 105 sera of HBeantigen carriers, 30 of patients with chronic persistent hepatitis, 17 of patients with active hepatitis and 30 of HBeantigen-positive patients on chronic hemodialysis) for the presence of HBeantigen and antiHBe antibodies. A high percentage of HBeantigens was found in patients with chronic active hepatitis (88,2%) as well as in patients on chronic hemodialysis (86,7%) while the finding of antiHBeantigen in these two groups was low, 11,8% and 3,3%, respectively. The presence of HBeantigen in other two groups was lower, 26,7% in patients with chronic persistent hepatitis and 28,5% in patients with asymptomatic HBe antigenemia. AntiHBe antibodies were present in a higher percentage in patients with chronic persistent hepatitis (70%) than in asymptomatic HBeantigen carriers (57,1%). The presence of HBeantigens is not always sign of severe liver function disorder as well as the presence of anti HBe antibodies is not always sign of preserved liver function.

Within the period of eight years (1973-1981) at the Clinic for ORL Diseases of the Military Medical Academy 150 myringoplasties were performed. The authors have presented the method, choice of grafts for reconstruction, functional success and immediate complications. Improved hearing was achieved in 89,34% of patients while hearing impairment was found in 10,66% of patients. The authors consider that myringoplasty, together with good microsurgical technique choice of grafts and correct indications, presents one of most successful otological operations.

Aqueous honey solution of 1350 specific weight, was used as a medium for flotation of intestinal helminth eggs. By the method of Lörincz 446 stools of soldiers were examined by parallel flotation in honey and glycerine. By flotation in honey solution helminth eggs were found in 168 (37,6%) and by flotation in glycerin in 96 (21,5%) which made the difference of 72 (16,1%). The most commonly were found: Trichuris trichuria eggs in honey solution in 108 (24,2%) stools and in glycerin in 86 (15,2%); Ascaris lumbricoides eggs in honey solution in 39 (8,7%) stools and, in glycerin in 10 (2,2%); while eggs of other intestinal helminths were rarely found and if they were found their number was approximately same obtained by both methods. Aqueous honey solution has shown to be a very suitable medium for flotation of intestinal helminth eggs, especially in cases when stools contain a small number of eggs and that mainly immature eggs of Ascaris lumbricoides which can be hardly found by flotation in glycerin.

Incidence, localization and clinical characteristics of diverticulosis of the digestive tract detected within the period 1971-1980 are analysed. Of 12.352 examined patients, diverticulosis was found in 425 (3,44%). The largest number was detected radiologically and some endoscopically. Diverticulosis was most commonly found in: colon 355, duodenum 42, eosophagus 20 and small intestine 16 (of them 11 with Meckel's) and most rarely in the stomach, 12 patients. Symtomatology was non-characteristic. The treatment was conservative, except in the case of complications. Complications occurred in 39 (9,2%) patients. Due to complications, Meckel's diverticuli were actively searched for and all cases were operated on.

A series of 3456 patients with malignant tumours of the maxillofacial region have been treated at the Clinic for Maxillofacial and Oral Surgery of the Military Medical Academy, Stomatological Clinic of the M.M.A. and Radiological Institute of Medical Faculty in Belgrade. The most frequent localization was lips and mucosa of the oral cavity, 77,9%. The irradiation therapy was applied in 42,3% of the patients and combined surgery and irradiation therapy in 28,6% Postirradiation changes of the oral cavity mucosa were found in 25% of the patients, teeth changes in 50% and Candida albicans was found in 56% of the patients. In order to prevent irradiation and postirradiation complications, all the patients with malignant tumours foressen for irradiation therapy should undergo a detailed stomatological examination and sanation of the oral cavity and teeth. The authors advocate team work in establishing the diagnosis and treating in which an important place should have stomatologist.

Observations in the treatment of 107 patients with duodenal ulcer by proximal gastric vagotomy without drainage are reported. Operative technique has been described. There were no operative mortality and immediate postoperative complications rarely occured. Incomplete vagotomy was proved in 2,8 of the operated patients. It has been concluded that the best results could be expected insimple duodenal ulcer, some forms of duodenal ulcer bleeding, perforation of acute ulcer and erosive gastritis. Additional stenosis was observed in some penetrating duodenal ulcers. Optimism is justified in a long-term prognosis. Recurrent ulcer was proved in 2 patients.