摘要:

Four cases of a rare atypical fetal heart pattern obtained during the oxytocin challenge test are described. In all cases, there were marked oligohydramnios and fetal growth retardation with a severely compromised fetus, and in 3 cases the fetuses died.

ISSN:0029-7844    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A gravid patient was given quinidine sulfate for idiopathic ventricular tachycardia. The serum levels of quinidine remained stable throughout pregnancy. At delivery, maternal and neonatal quinidine levels were equivalent, while the level in the amniotic fluid was significantly elevated. Explanations for the latter include 1) a concentration of quinidine in amniotic fluid due to spontaneous fetal voiding and 2) the use of a nonspecific protein precipitate method to measure quinidine that is unable to differentiate quinidine from its nonfunctioning metabolites. The diffusion of quinidine into breast milk was relatedw to the serum quinidine concentration.

ISSN:0029-7844    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Hydranencephaly in a twin gestation was demonstrated prenatally by ultrasonography and confirmed following delivery by cranial computerized axial tomography (CAT). Prenatal diagnosis of intracranial anomalies is possible with the use of ultrasonography. This is the third report of the occurrence of hydranencephaly in a twin gestation.

ISSN:0029-7844    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A case of congenital mitral and aortic stenosis diagnosed from the fetal electrocardiogram (FECG) during labor is presented. Cardiologic work-up and autopsy findings in the neonate confirmed the diagnosis. This is the first case in which prenatal diagnosis of a specific anatomical lesion of the heart was made from the FECG and confirmed clinically as well as at autopsy.

ISSN:0029-7844    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

The present communication is the first report of a metastatic brain abscess occurring as a complication of severe intrauterine device (IUD)-related pelvic inflammatory disease (PID). The diagnostic and therapeutic problems are discussed, and a suggestion is made for the reporting of all IUD-associated infections to a central agency.

ISSN:0029-7844    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

An attack of hypokalemic paralysis occurring in a 23-year-old woman during the immediate postpartum period of her fourth pregnancy is described. A flaccid paralysis of her extremities and markedly diminished deep tendon reflexes developed 3 hours after delivery, at which time her serum potassium level was found to be 1.7 mEq/Iiter. Hypokalemic paralysis has not been previously reported as an immediate postpartum complication. The pathophysiology and management of this condition are discussed, as are the treatment and follow-up of this specific patient.

ISSN:0029-7844    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A case is reported of fetus papyraceus diagnosed intrapartum. There was no clinical evidence in early and midpregnancy to suggest such a diagnosis. Ultrasound examination performed 1 week prior to delivery was nondiagnostic, but an x-ray taken intrapartum revealed dystocia caused by fetus papyraceus, thus necessitating cesarean section. It is suggested that the clinician consider x-ray as well as ultrasound in the diagnosis of fetus papyraceus. In addition to the obstetric morbidity, there is considerable neonatal morbidity which further increases the importance of antenatal diagnosis of fetus papyraceus.

ISSN:0029-7844    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A case is presented that demonstrates that bilateral ligation of the ascending branches of the uterine artery to control uterine hemorrhage is as effective in the first trimester as it is in the last trimester.

ISSN:0029-7844    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Giant uterine fibroids are those weighing > 25 lb (11.4 kg). Such a fibroid may appear as a solitary tumor or as a conglomerate mass of uterine fibroids presenting as a single uterine tumor. The challenge of these tumors lies in their proper surgical management. Combined preoperative and postoperative mortality is approximately 15%. The paucity of recent reports encountered in the literature of uterine fibroids of this magnitude reflects their rarity.

ISSN:0029-7844    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

An unusual case of vulvar carcinoma in a gonadal dysgenesis patient is described. In addition to clinical manifestations, certain laboratory data related to endocrine status were gathered from serum and urine analyses. Finally, receptors for estrogens, progestins, and glucocorticoids were determined on biopsies of the vulvar carcinoma.

ISSN:0029-7844    

出版商:OVID    

年代:1979

数据来源: OVID