RESUMO
Acute appendicitis is the most common nonobstetrical surgical condition of the abdomen complicating pregnancy. Appendectomy reportedly is performed during pregnancy once for every 1,500 deliveries. Although the incidence of appendicitis occurring in pregnant women is considered to be the same as in nonpregnant women, the signs and symptoms, and the laboratory findings usually associated with appendicitis in the nonpregnant condition, are frequently unreliable during pregnancy. Using the Computer Diagnostic Data System, we completed a retrospective analysis on all appendectomies performed at two Army Medical Activities (MEDDACs) during a 2-year period. With a representative large Army MEDDAC and a representative medium-sized Army MEDDAC studied, the incidence of appendectomy during pregnancy was the same frequency as in previous reports. The only consistent finding in all pregnant patients who underwent appendectomy was right lower quadrant abdominal pain. Presenting signs and symptoms, clinical evaluations, laboratory findings, and surgical management is discussed. No morbidity or mortality occurred during this study.
Assuntos
Apendicectomia/estatística & dados numéricos , Apendicite/diagnóstico , Apendicite/cirurgia , Medicina Militar/estatística & dados numéricos , Militares , Complicações Infecciosas na Gravidez/diagnóstico , Complicações Infecciosas na Gravidez/cirurgia , Dor Abdominal/etiologia , Adolescente , Adulto , Apendicectomia/métodos , Apendicite/complicações , Apendicite/epidemiologia , Parto Obstétrico/estatística & dados numéricos , Diagnóstico Diferencial , Feminino , Humanos , Incidência , Kentucky/epidemiologia , Laparoscopia/estatística & dados numéricos , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Estudos Retrospectivos , Virginia/epidemiologiaRESUMO
Amniorrhexis complicates pregnancies if it occurs in a preterm pregnancy or remote from the onset of labor in a term pregnancy. There are different collagen types (I-V) that create the extracellular matrix of the amnion. Collagenases specific to these collagen types, with the exception of type V collagen, are found in human amniotic fluid, fibroblasts, polymorphonuclear leukocytes and bacteria. Type V collagen is a major component of the amniotic basement membrane and is responsible for maintaining a barrier to bacteria and to the loss of amniotic fluid. We sought to find evidence of type V collagenolytic activity in human amniotic fluid obtained from pregnancies in different clinical states.
Assuntos
Líquido Amniótico/enzimologia , Colagenase Microbiana/análise , Amniocentese , Âmnio/química , Âmnio/enzimologia , Autorradiografia , Bactérias/enzimologia , Membrana Basal/química , Colágeno/análise , Colágeno/classificação , Colagenases/análise , Eletroforese em Gel de Poliacrilamida , Proteínas da Matriz Extracelular/análise , Feminino , Ruptura Prematura de Membranas Fetais/enzimologia , Maturidade dos Órgãos Fetais , Fibroblastos/enzimologia , Testes Genéticos , Humanos , Pulmão/embriologia , Metaloproteinase 8 da Matriz , Neutrófilos/enzimologia , Trabalho de Parto Prematuro/enzimologia , Projetos Piloto , Placenta/enzimologia , Gravidez , Dodecilsulfato de Sódio , TensoativosAssuntos
Doenças das Tubas Uterinas/cirurgia , Laparoscopia , Cistos Ovarianos/cirurgia , Complicações na Gravidez/cirurgia , Adulto , Apendicite/diagnóstico , Apendicite/cirurgia , Diagnóstico Diferencial , Doenças das Tubas Uterinas/diagnóstico , Feminino , Humanos , Cistos Ovarianos/diagnóstico , Gravidez , Complicações na Gravidez/diagnóstico , Primeiro Trimestre da GravidezRESUMO
This is a brief report on the medical support provided to an aviation brigade from September 1, 1990 to November 1, 1990, deployed during Operation Desert Shield. The aviation brigade consisted of 1,400 personnel including attachments. Medical support was provided by 3 physicians, a physician's assistant, and 24 enlisted personnel. Daily patient load was 2.5% of the unit strength.
