RESUMO
Twenty women and 20 men subjected to urologic operations comprise the study group. Ten women and 10 men were operated under halothane anesthesia and 10 women and 10 men--under neuroleptanesthesia. Plasma prolactin levels were determined before induction in anesthesia, and 30 and 60 minutes after the onset of the operation. The mean plasma prolactin level in women exceeded the upper normal limit at the first determination before induction in anesthesia. During the operation, both in women and in men, with either type of anesthesia there occurred statistically significant rise in the mean plasma prolactin, more pronounced in women than in men. In women, the rise in plasma prolactin was greater during operations performed under halothane anesthesia and in men--under neuroleptanesthesia.
Assuntos
Halotano , Neuroleptanalgesia , Prolactina/sangue , Procedimentos Cirúrgicos Operatórios , Adulto , Idoso , Feminino , Humanos , Período Intraoperatório , Masculino , Pessoa de Meia-Idade , Medicação Pré-Anestésica , Caracteres SexuaisRESUMO
A patient has been observed with virilizing cancer of the adrenal cortex. Anesthesiologic-resuscitation and operative problems are discussed. The importance of corticosteroid substitutional treatment is emphasized. The operation was performed through transversal laparotomy under classical neuroleptanesthesia.
Assuntos
Neoplasias do Córtex Suprarrenal/cirurgia , Carcinoma/cirurgia , Neuroleptanalgesia , Ressuscitação , Neoplasias do Córtex Suprarrenal/metabolismo , Androgênios/metabolismo , Período de Recuperação da Anestesia , Carcinoma/metabolismo , Feminino , Humanos , Pessoa de Meia-Idade , Medicação Pré-AnestésicaAssuntos
Halotano , Rim/cirurgia , Neuroleptanalgesia , Sistema Renina-Angiotensina/efeitos dos fármacos , Adulto , Feminino , Humanos , Período Intraoperatório , Cálculos Renais/sangue , Cálculos Renais/cirurgia , Doenças Renais Císticas/sangue , Doenças Renais Císticas/cirurgia , Masculino , Pessoa de Meia-IdadeAssuntos
11-Hidroxicorticosteroides/sangue , Adrenalectomia , Anestesia Endotraqueal , Circulação Sanguínea , Síndrome de Cushing/fisiopatologia , Adolescente , Adulto , Anestesia Endotraqueal/métodos , Criança , Pré-Escolar , Síndrome de Cushing/cirurgia , Relação Dose-Resposta a Droga , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neuroleptanalgesia , Medicação Pré-Anestésica/métodosRESUMO
The blood groups of 1012 patients were investigated that underwent operations in connection with the following thyroid diseases: Basedow's disease, basedowified goiter, toxic adenoma with thyroid carcinoma. Significant discrepancies were established not to exist as compared with the distribution of the blood groups among the Bulgarian population. The percentage of the patients with blood group A is only higher in carcinoma of the thyroid gland -- 50.2 per cent and in blood group O -- lower 27.8 per cent. The comparison with a control group of 307 patients with gastric carcinoma revealed that the percentage of blood group A is considerably higher -- 54.1 per cent among them.
Assuntos
Sistema ABO de Grupos Sanguíneos , Sistema do Grupo Sanguíneo Rh-Hr , Doenças da Glândula Tireoide/sangue , Sistema ABO de Grupos Sanguíneos/imunologia , Antígenos/análise , Doença de Graves/sangue , Humanos , Hipertireoidismo/sangue , Sistema do Grupo Sanguíneo Rh-Hr/imunologia , Neoplasias da Glândula Tireoide/sangueRESUMO
A report of the author's personal experience with analtesia in 604 patients having toxic goiter is given. During the procedure the effect of various anesthetics on the pulse rate at the time of surgery was studied. It was found that the combined neuroleptanalgesia and a combination of local infiltrative novacain anesthesia with nitrogen monoxide-oxygen narcosis renders the most favourable effect in such cases.