RESUMO
Autopsy and clinical data were analysed for 803 surgical patients whose death was due to pulmonary artery thromboembolism (PAT). PAT was diagnosed intravitally in 32% of the deceased. 87% of the patients with PAT symptoms died within 2 hours. 3/4 of PATs developed in uneventful postoperative period, 1/4--in complications. The cause of PAT in 99.3% of cases were thromboses in vena cava inferior. In 88.3% of cases these thromboses ran latently. Frequency of postoperative PAT as a cause of death was 1.4% in 1972-1973, 2.1% in 1990-1991, 1.3% in 1997. The fall of the death rate is explained by introduction of drug prophylaxis of PAT.
Assuntos
Complicações Pós-Operatórias/patologia , Embolia Pulmonar/patologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/fisiopatologia , Embolia Pulmonar/fisiopatologiaRESUMO
Basing on roentgenological and morphological investigations the causes of the iliac veins passability disorder were studied up. In 45.1% of observations the stenosis was revealed of the left and in 1.2% of the right common iliac vein. Among the stenosis causes were osteal or cartilagenous prominences of vertebral column, intravascular structures (webs, membranes) in the left common iliac vein, the external iliac vein squeeze by internal iliac artery, retroperitoneal fibrosis, the right common iliac artery aneurysm, anomalous branching of parietal pelvic artery.
Assuntos
Veia Ilíaca/patologia , Trombose Venosa/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Ninety-six lethal cases of tuberculosis overlooked in general hospitals of Minsk in 1983-1989 have been analyzed clinicopathologically. The examination in general hospitals provided intravital diagnosis of tuberculosis in 18% of the cases only. The largest proportion of the overlooked cases related to disseminated tuberculosis (69.0 +/- 4.7%). Extrapulmonary tuberculosis and caseous pneumonia are also often missed in general institutions. Low detection of tuberculosis is attributed to incompetence of the internists in reading roentgenograms, inadequate phthisiatric alarm, incomplete x-ray and bacteriological examinations, especially of patients at risk for tuberculosis.