Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 1997
[The surgical treatment of gastroduodenal ulcers complicated by perforation and hemorrhage].
Medical histories of 67 patients with perforation of gastroduodenal ulcers combined with gastroduodenal hemorrhage were analyzed. The frequency of this complication makes 7.5% of all patients with perforated peptic ulcers. High mortality rate is thought to result from wrong diagnosis and inadequate operation. ⋯ Resection of the stomach is known to be dangerous because of frequent complications often leading to death. Operations aimed at the arrest of hemorrhage and liquidation of peritonitis are indicated to patients in critical state. X-ray examination of the abdomen and fibrogastroduodenoscopy allowed the combination of perforation and hemorrhage to be diagnosed in due time in all the patients.
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The authors experience based upon the results of operative treatment of 148 patients with injuries of the cervical spine and dysfunctions of the upper extremities was used in order in substantiate the volume of diagnostic measures, indications to different methods of operative treatment. The latter is considered to be expedient in all periods of the traumatic disease of the spinal cord with retained radicular-medullary compression.
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Vestn. Khir. Im. I. I. Grek. · Jan 1997
Comparative Study[Methodology for the objective assessment of trauma severity (II. The assessment of the severity of gunshot wounds)].
The article presents a scale for an objective assessment of gun-shot wounds developed at the department of military field surgery of the Medical Military Academy. The effectiveness of the scale was estimated by comparing it with the AIS-90 and ISS methods according to 3 criteria: lethality, discharge from the military forces and duration of the period of lost fighting ability. The greatest correlation of the scale with these criteria was established. The sphere of its clinical use is described.
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Vestn. Khir. Im. I. I. Grek. · Jan 1997
[Emergency computed tomography in closed trauma of the chest and abdomen].
An analysis of using computed tomography (CT) in 152 patients with closed traumas of the chest and abdomen has shown that CT is indicated in cases of disagreements between the clinical picture and findings of the laboratory instrumental methods of examination when injuries of organs and tissues and development of early and late complications are suspected. The resolution of CT in closed trauma of the chest was at an average 97.3%, in closed trauma of the abdomen 94.9%. The possibility to perform the emergency CT in patients with a severe combined injury of the chest and abdomen during 24 hs a day allows injuries of the aorta, central and subcapsular hematomas of the liver and spleen to be diagnosed in a short time as well as the exact character of injuries of the pancreas and kidneys. CT is thought to be the method of choice for diagnosis of injuries of organs of the mediastinum and retroperitoneal space.
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Vestn. Khir. Im. I. I. Grek. · Jan 1997
Comparative Study[The treatment of appendicular peritonitis complicated by septic shock in childhood].
The article presents an analysis of results of treatment of 39 children from 1 to 14 years of age with diagnosis of appendicular peritonitis complicated by septic shock. It was shown that complex pathogenetic treatment with controlled laparostomy, necessary compulsory or subsidiary artificial pulmonary ventilation before and after operative intervention, associated use of afferent methods allowed to decrease the number of lethal outcomes from 54.5 to 11.1%.