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1.
Tunisie Medicale [La]. 2005; 83 (8): 473-476
in French | IMEMR | ID: emr-75398

ABSTRACT

Our purpose was to assess the effects of corticotherapy prescribed after delivery on the kinetic of biological parameters of HELLP syndrome [hemolysis elevated liver enzymes low platelets count]. Twenty patients in whom pregnancy was complicated by antepartum or postpartum HELLP Syndrome, were randomised to receive, after delivery, either 12 mg of Dexamethasone every 12 hours for two doses [Group C, n=10], or a placebo [Group T, n=10]. Biological parameters of the HELLP syndrome were analysed just before the first bolus of either treatment [H0], then after 24, 36, 48 and 72 hours. The corticotherapy was more efficient than placebo, in the correction of the biological parameters of the HELLP syndrome. It permitted a rapid correction of the thrombopenia [from the 24th hour] but its effect on hemolysis marker was later [from the 36th hour]. The kinetic of the hepatic cytolysis marker was not modified by corticotherapy. Finally, the administration of corticosteroids does not reduce maternal morbidity related to HELLP Syndrome


Subject(s)
Humans , Female , Dexamethasone , Postpartum Period , Adrenal Cortex Hormones , Pre-Eclampsia
2.
Tunisie Medicale [La]. 2000; 78 (2): 139-142
in French | IMEMR | ID: emr-55983

ABSTRACT

The authors report a case of a Dalkon Shield, forgot in a 55 years old patient, responsible for actinomycosis infection. Basing on a review of the literature, diagnostic methods and management of this kind of complication are discussed


Subject(s)
Humans , Female , Actinomycosis/etiology , Actinomycosis/diagnosis , Pelvic Infection
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