RESUMO
A 25years old female patient with pregnancy of 16weeks (G2 P1), diagnosed to have distal anterior cerebral artery aneurysm (DACA) with Hunt & Hess grade I, subarachnoid hemorrhage (SAH) and coexisting atretic type of aortic coarctation posted for aneurysmal clipping under general anesthesia is a challenge to anesthesiologists in perioperative period. Hypertensive surges in a pregnant patient may result in rupture of aneurysms. Mortality in the mothers with CoA has been reported to be in the range of 0 to 9%. Anesthetic management of a pregnancy with CoA and SAH has never been reported.
Assuntos
Anestesia Geral/métodos , Coartação Aórtica/complicações , Craniotomia/efeitos adversos , Aneurisma Intracraniano/complicações , Hemorragia Subaracnóidea/complicações , Adulto , Coartação Aórtica/diagnóstico , Coartação Aórtica/cirurgia , Feminino , Fentanila/administração & dosagem , Humanos , Aneurisma Intracraniano/cirurgia , Hipertensão Intracraniana/etiologia , Complicações Intraoperatórias/etiologia , Lidocaína/administração & dosagem , Angiografia por Ressonância Magnética , Éteres Metílicos/administração & dosagem , Monitorização Intraoperatória , Monitorização Fisiológica , Assistência Perioperatória/métodos , Gravidez , Sevoflurano , Hemorragia Subaracnóidea/diagnóstico , Hemorragia Subaracnóidea/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Infective hepatitis ia an acute inflamatory condition of liver. It is usually manifested in the form of Jaundice. In this clinical study Kalmegh(Andrographis paniculata Nees) was given in the decoction form to the patients of infective hepitis. The results were assessed on the basis of clinical and biochemical parameters. A marked symptomatic improvement in majority of the cases was observed. A statistically highly significant decrease was noted in various liver function tests viz., serum bilirubin, thymol turbidity, alkaline phosphatase, S.G.O.T.; S.G.P.T. and serum globulin fraction of protein. Moreover it increased significantly total serum globulin fraction of protien. Moreover it increased significantly total serum protein level along with albumin fraction. On the total assessment 80% cases of this series were cured and 20% patients were relieved. Therefore, Kalmegh appears to be a useful remedy for the treatment of infective hepatitis.
