Medicina
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Comparative Study
[Analysis of burns' causes of children admitted to the National Burns Center in 1995-2000].
A retrospective multifactorial epidemiological study of pediatric patients admitted to the National Burns Center was undertaken, since January 1995 to December 2000. Nine hundred sixty-nine patients were admitted. The objective of this study was to describe the burns characteristics of different pediatric age groups. ⋯ The home was the most common site of injury - 93.4%. The mean patient age was 3.43+/-0.12 (range from 6 months to 16 years). The mean percentage body surface area burned was 8.87+/-0.28 percent.
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Comparative Study
[Prognostication of acute intraoperative bleeding in children with burn wounds undergoing tangential necrectomy and auto-dermatoplasty].
The aim of this study was to estimate the blood loss of children undergoing tangential necrectomies and skin grafting by using gravimetric methods. Also we had to estimate the influence of age upon the quantity of blood loss. We examined 50 cases. ⋯ The age of children does not influence the intensiveness of bleeding per square measure site of the necrectomy and harvesting area. The blood loss is a constant quantity and is equal to 0.47 +/- 0.1 ml/cm2. The blood loss that takes place from one percent of the necrectomy and harvesting areas is approximately equal to 2.05% of the circulating blood volume.
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Comparative Study
[Survival after myocardial infarction among the middle-aged Kaunas men and women].
The aim of the present study was to determine and compare the short-term and long-term survival after myocardial infarction (MI) in the Kaunas men and women aged 25-64 during 1983 to 1998, according to ischemic heart disease register data. The source of the data--Kaunas population-based ischemic heart disease register. The diagnosis of MI was based on the criteria defined by the WHO MONICA Project. All myocardial infarction events that occurred among Kaunas population aged 25-64 years during 1983-1998 were recorded. Myocardial infarction survival was evaluated using Kaplan-Meier method and using z test for comparing the survival curves. ⋯ The data of 3,613 persons with a first myocardial infarction and 528 with a recurrent myocardial infarction were analyzed. Detected, that among men and women a short-term (28 days) survival probability was significant different. In the men aged 25-64 short-term survival after a first myocardial infarction was better comparing with the women survival (z = 4.63, p = 0.03). The short-term survival among men aged 25-64 with a recurrent myocardial infarction comparing with woman did not differ. The long-term survival probability in patients, who survived the first 28 days, among men and women with a first and recurrent myocardial infarction aged 25-64 was without statistically significant differences.
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The aim of the article is to review Lithuanian cardiac surgery development, as well as authors and timing of the first operations performed. Historical review involves two periods: initial (1900-1964) and contemporal (1964-2002). Benevolent rivalry between Vilnius and Kaunas heart surgeons is given to show their contribution into Lithuanian surgery. Chronological development and amelioration of the main heart surgery fields are described: heart injuries, ischemic heart disease, congenital and acquired defects, heart rhythm disturbances, heart transplantation.
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Case Reports Comparative Study
[Simultaneous myocardial revascularization and abdominal aortic aneurysm repair (report of a fatal case)].
Patients with coronary disease associated with abdominal aortic aneurysm or aortoiliac occlusive disease often raise problems of operative strategy. In particular, the order in which these lesions should be treated is a frequent source of controversy. Our approach for the past two years has been a combined myocardial revascularization with abdominal aortic reconstruction in patients with both lesions. ⋯ We report here the fatal case of combined coronary artery bypass grafting and abdominal aortic aneurysm repair. Partial heparinization and operation without extracorporeal circulation caused acute thrombosis of abdominal aortic aneurysm and femoral arteries. Our first experience advocates using total heparinisation and cardiopulmonary bypass for combined cardiac-aortic procedures.