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Trabalhos Originais
Comparative Study of Maternal and Perinatal Outcomes among Patients with Pregestational Type I and Type II Diabetes
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):257-263
01-04-2000
Summary
Trabalhos OriginaisComparative Study of Maternal and Perinatal Outcomes among Patients with Pregestational Type I and Type II Diabetes
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):257-263
01-04-2000DOI 10.1590/S0100-72032000000500002
Views110See morePurpose: to evaluate the evolution of gestation, metabolic control and perinatal outcome of pregestational diabetic patients and to perform a comparative study of the results of patients with insulin-dependent diabetes (type I) and non-insulin-dependent diabetes (type II). Methods: retrospective analysis of 57 pregestational diabetic woman charts who began a prenatal follow-up in the Service of Maternofetal Medicine of the Maternidade-Escola Assis Chateaubriand of the Universidade Federal do Ceará, in the period from January 1995 to December 1998. The 57 pregnant women included in the study were divided into groups: the first, composed of 28 patients with insulin-dependent diabetes (type I), and the second with 29 pregnant women with non-insulin-dependent diabetes (type II), controlled with diet or with oral hypoglycemics before pregnancy. Results: there was no statistically significant difference between the two groups in relation to the need of hospitalization for glycemia control (39.2% x 27.5%) and maternal complications, such as: chronic arterial hypertension (14.2% x 27.5%), pregnancy-induced hypertension (14.2% x 17.2%), premature rupture of membranes (3.5% x 10.3%), urinary tract infection (10.7% x 6.8%), and preterm labor (3.5% x 6.8%). However, episodes of maternal hypoglycemia were more frequent among insulin-dependent patients (35.7% x 3.4%). The perinatal results were similar. We observed a great number of congenital anomalies and increased perinatal morbidity and mortality. Conclusion: there was no difference in the incidence of obstetric and clinical complications between insulin-dependent and non-insulin-dependent patients, except for maternal hypoglycemia.
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Editorial
Gravidez na Adolescência
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):256-256
01-04-2000
Summary
EditorialGravidez na Adolescência
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):256-256
01-04-2000 -
Resumos de Tese
Relação entre o fator de crescimento endotelial vascular tumoral e o CA 125 plasmático em pacientes com neoplasias epiteliais do ovário
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):423-423
08-07-1999
Summary
Resumos de TeseRelação entre o fator de crescimento endotelial vascular tumoral e o CA 125 plasmático em pacientes com neoplasias epiteliais do ovário
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):423-423
08-07-1999DOI 10.1590/S0100-72031999000700012
Views36Relação entre o Fator de Crescimento Endotelial Vascular Tumoral e o CA 125 Plasmático em Pacientes com Neoplasias Epiteliais do Ovário […]See more -
Resumos de Tese
Avaliação da imunoexpressão do anticorpo monoclonal MIB-1 no epitélio mamário adjacente ao fibroadenoma de mulheres no menacme tratadas com tamoxifeno
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):423-423
08-07-1999
Summary
Resumos de TeseAvaliação da imunoexpressão do anticorpo monoclonal MIB-1 no epitélio mamário adjacente ao fibroadenoma de mulheres no menacme tratadas com tamoxifeno
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):423-423
08-07-1999DOI 10.1590/S0100-72031999000700013
Views44Avaliação da Imunoexpressão do Anticorpo Monoclonal MIB-1 no Epitélio Mamário Adjacente ao Fibroadenoma de Mulheres no Menacme Tratadas com Tamoxifeno […]See more -
Resumos de Tese
Avaliação dos efeitos vasculares do 17beta: estradiol sobre as artérias uterinas de mulheres na pós-menopausa através da dopplervelocimetria transvaginal colorida
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
08-07-1999
Summary
Resumos de TeseAvaliação dos efeitos vasculares do 17beta: estradiol sobre as artérias uterinas de mulheres na pós-menopausa através da dopplervelocimetria transvaginal colorida
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
08-07-1999DOI 10.1590/S0100-72031999000700011
Views40Avaliação dos Efeitos Vasculares do 17b – Estradiol sobre as Artérias Uterinas de mulheres na pós-menopausa através da Dopplervelocimetria Transvaginal Colorida […]See more -
Resumos de Tese
Estudo da citometria de fluxo e de outras variáveis prognósticas em carcinoma invasivo da mama
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
08-07-1999
Summary
Resumos de TeseEstudo da citometria de fluxo e de outras variáveis prognósticas em carcinoma invasivo da mama
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
08-07-1999DOI 10.1590/S0100-72031999000700010
Views35Estudo da Citometria de Fluxo e de outras Variáveis Prognósticas em Carcinoma Invasivo da Mama […]See more -
Relato de Caso
Squamous cell carcinoma of the breast tissue: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):419-421
08-07-1999
Summary
Relato de CasoSquamous cell carcinoma of the breast tissue: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):419-421
08-07-1999DOI 10.1590/S0100-72031999000700009
Views77See moreSquamous cell carcinoma of the mammary tissue is a very rare neoplasm, representing less than 1% of all breast carcinomas. The present study reports a case of squamous cell carcinoma of the breast, treated at the Hospital Araújo Jorge/ACCG. The tumor diagnosis, treatment and prognosis are also discussed.
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Trabalhos Originais
Massive hemorrhage in gynecologic cancer surgery: the use of hemostatic pack
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):415-418
08-07-1999
Summary
Trabalhos OriginaisMassive hemorrhage in gynecologic cancer surgery: the use of hemostatic pack
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):415-418
08-07-1999DOI 10.1590/S0100-72031999000700008
Views116See morePurpose: to introduce the use of the hemostatic pack, a tampon consisting of compresses tied to the bleeding surface and left in place for 48 to 72 h and which is one of the therapeutic alternatives to be used in this situation. Patients and Methods: we evaluated 3 cases of massive bleeding during surgery, with the exchange, on average, of 1.4 blood volumes (1.2-2.4), in terms of hemostatic effectiveness of the pack and of some patient parameters such as age and amount and type of volume infused. Results: the mean age of the patients was 57 years (51, 56 and 64). Only one had been previously irradiated. The bleeding was of venous origin, from the fossa of the obturator nerve, the iliac plexus and the presacral plexus. The volume expander most often used was 0.9% physiological saline solution, followed by blood derivatives and by Ringer lactate. Two patients were submitted to ligation of the hypogastric vein during surgery, with no improvement. The use of hemostatic synthetic material was inefficient in all three cases. In one of the patients, the use of nonabsorbable sutures to close the bleeding area led to a considerable reduction of bleeding, but did not eliminate it completely. One patient died before 24 h had elapsed, with signs and symptoms of heart failure. The other two patients developed acute renal failure and one of them developed aspirative pneumonia during surgical reexploration. Conclusion: massive bleeding is related to high morbidity and mortality. Among the emergency measures used for hemostasis, the pack seems to be the most adequate.
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