ABSTRACT
Authors studied 30 cases of pulmonary emboli in BAMAKO in the departments of Cardiology at Point G hospital. The purpose of this work was to determine the pulmonary emboli's frequency, their signs and symptoms and to observe their outcome. Was eligible to study every patient hospitalised for pulmonary emboli confirmed by clinical signs and D- dimere test, with ECG and echocardiogram in most cases. The pulmonary emboli' frequency was 1,7%, with an average age of 51 years ± 16,9. Among causes the most frequent were hypertension (50%), phlebitis (40%), chronic cor pulmonale (30%), and heart failure (40%). Signs were respiratory distress (80%), haemoptysis (43%), syncope (20%), and circulatory collapse (15%). ECG show mostly right ventricular hypertrophy (93,3%) and x ray sometimes a characteristic aspect. Cardiac echography show essentially ventricular and auricular dilatation with a thrombus in 6,7% of the cases. The treatment was by heparin, AVK and analgesic. Mortality in study was 11, 3 %. So pulmonary embolus is always at high risk and sometimes it's diagnostic is difficult.
Subject(s)
Pulmonary Embolism/epidemiology , Pulmonary Embolism/etiology , Adult , Aged , Aged, 80 and over , Echocardiography , Electrocardiography , Female , Fibrin Fibrinogen Degradation Products/analysis , Humans , Male , Mali/epidemiology , Middle Aged , Prospective Studies , Pulmonary Embolism/diagnosis , Pulmonary Embolism/therapy , Retrospective StudiesABSTRACT
The investigated numbers of TB/HIV co-infection was 31 cases. The investigated rate of the co-infection in TB group was 5.2% (17/329) and 17.3% (14/81) in positive HIV group, the dead rate of TB/HIV patients was 22.6%. The group of the highest risk was intravenous drug users (23/31). The numbers of co-infection focus on 4 districs which have had the greatest number of HIV cases in Lang Son province.
Subject(s)
Epidemiologic Studies , HIVABSTRACT
By routine methods of research of National AIDS Committee of Vietnam, the authors described the status of HIV infection in Lang son(1993-1998): Langson is one of five provinces that have had the greatest number of HIV cases in Vietnam. It covered 11/11 districts, was almost in the group of ages from 15 to 45, it took 91,8% in male. The group of the highest risk was intravenous drug users (81,3%). At the same time, we have given some basic proposals to prevent HIV in Langson.
