Vŭtreshni bolesti
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Valvular prosthesis made a good reputation in the treatment of acquired and a series of congenital heart diseases. At the Research Institute of Cardiovascular Diseases, 288 subjects were implanted a total of 324 valves from 1965 to 1979. ⋯ In 18 of the patients valvular prosthetization was accompanied by some other heart interventions--valvular commissurotomy or plastics, plastics of interauricular defect, etc. The potentialities and indications are developed for surgical treatment with valvular prostheses in cases of mitral aortic and tricuspid heart diseases.
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Ascites was found in 772 (30,89%) from all the 2500 laparoscopy examined patients. Ascites was due to liver cirrhosis in 57.78 per cent of the patients, to peritoneum carcinosis in 26.29 per cent and to primary and metastatic liver carcinoma in 12.95 per cent, to tuberculous peritonitis in 1.42 per cent and more seldom to some other diseases. ⋯ Laparoscopy with a biopsy of peritoneum and liver is of decisive importance in the differentiation of peritoneum carcinosis and tuberculosisé. The clinico-laboratory diagnosis in carcinosis coincides completely with the laparoscopic one, the histologic--in 24.5 per cent, partially in 45.5 per cent and in 30 per cent it fails completely to coincide.