ABSTRACT
An eleven year retrospective analysis of patients being treated for heart disease at Siriraj Hospital, during 1979-1989, was carried out in order to find out the epidemiological characteristics of disease and the results of surgical treatment. There were 4289 patients encountered during the period of study. Of these patients, 2565 (60 percent) had congenital heart disease while the rest had the acquired ones. 40 percent of these patients were 13 years and below. Among patients with congenital heart disease, PDA, ASD, Tetralogy of Fallot, and VSD were encounted in 25, 22, 20 and 15 percent respectively. Valvular heart disease, coronary artery disease and pericardial disease were encountered in 56, 15 and 12 percent respectively. The opened heart surgery was carried out in 2753 patients (64 percent) while only 1536 patients (36 percent) had the closed one. The overall mortality following surgery was 3.1 percent. The mortalities among patients with the congenital and the acquired heart disease were 2.03 and 5.22 percent and for those underwent opened and closed surgery were 3.92 and 2.21 percent respectively.
ABSTRACT
A retrospective study is composed of 23 patients with pulmonary infiltrations whose hospital records were available who underwent open lung biopsy at Siriraj Hospital from January, 1982, to December, 1986. The patients were separated into two broad groups. The first, there were those patients who were in clinically stable condition. The second group identified patients who were systemically ill and whose course was rapidly deteriorating. Time delayed in diagnosis was critical in these patients whose urgent and correct treatment was necessary. Open lung biopsy revealed correct diagnosis in all patients. The prospective diagnosis was changed in 60.87 percent of all patients and the biopsy results altered therapy in 56.52 percent. Hence open lung biopsy appears to be a valuable procedure with low morbidity and mortality in patients who have otherwise undiagnosable pulmonary infiltrations.