Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2002
Comparative Study[Diagnosis and intensive therapy of thermal and inhalation trauma].
The authors made an analysis of an experience with treatment of patients with a combined thermal inhalation injury in the Burn Center of the St. Petersburg Research Institute of emergency medical care named after I. ⋯ A prognostic model with respect to the patient's life was worked out on the basis of complex estimation of the data of the depth and square of the injury of skin, severity of the inhalation trauma and age of the casualty. The authors propose a scale of estimation of the severity of the inhalation trauma with special reference to the probable outcome which allows a differentiated approach to choice of the treatment policy that finally favors reduction of lethality in the group under analysis.
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Vestn. Khir. Im. I. I. Grek. · Jan 2002
[Significance of invasive monitoring of central hemodynamics for the timely correction of their disturbances in operations on the abdominal aorta].
Central hemodynamics was investigated with the thermistor Swan-Hanz catheter in 50 patients with the Leriche syndrome in whom aorto-femoral bifurcation shunting was performed. It was found that hemodynamic profiles of arterial hypotonia appearing at different stages of the operation can be expressed as hypovolemia, lower peripheral resistance of the vessels or the syndrome of low cardiac ejection. The therapeutic strategy (inotropic maintenance, vasodilators, infusion therapy) should be differentiated depending on the hemodynamic profile of hypotonia.
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Vestn. Khir. Im. I. I. Grek. · Jan 2001
Comparative Study[Cerebrospinal fluid fat globules in traumatic fat embolism].
The article is devoted to the problem of diagnosis and treatment of 28 patients with cranio-cerebral injury with posttraumatic fat embolism. In 15 of them fat liquoroglobulia was diagnosed which is a reliable symptom of the cerebral form of fat embolism. ⋯ A new method--liquorosorption--was used in treatment of patients with the cerebral form of fat embolism. A disturbance of the hematoencephalic barrier is thought by the authors to be possible in such embolism.