Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2000
Comparative Study[Causes of complications and fatal outcome after combat gunshot wounds of the internal organs].
Under examination there were 110 wounded with battle gunshot injuries of organs of the abdominal cavity. Among them there were 14 patients with thoracoabdominal wounds. Injuries of the internal and other organs were diagnosed in 39 wounded. ⋯ Postoperative complications developed in 28%. Relaparotomy was performed in 13.6% of the patients. Postoperative lethality was 15.3%.
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The article is devoted to the problem of fat embolism. In 63 patients with combined and isolated traumas the maximum frequency of fat embolism was diagnosed in the investigation of blood serum from the femoral artery. It can be supposed that no isolated injury of the lesser circulation circuit can occur in fat embolism. An investigation of the venous-arterial difference of fat globulemia has shown the main role of the so-called theory of shunting for fat embolism to be doubtful.
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Vestn. Khir. Im. I. I. Grek. · Jan 2000
Comparative Study[Early surgical treatment of low-voltage electric burns of the hand in children].
Electrical burns give not more than 8% in the structure of burns in children. Most of the children suffer from burns by electrical current of 220 V, and invalidisation of the children can result from inadequate surgical treatment. Advantages of early operative treatment (primary or delayed necrectomy with different kinds of primary skin plastic) are proved as compared with traditional plastic of the granulating wounds. This method can be considered to be the method of choice in treatment of children with low voltage electrical burns of the hand.
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Vestn. Khir. Im. I. I. Grek. · Jan 2000
Comparative Study[Diagnosis of heart contusions in patients with multiple trauma of the chest].
A complex investigation of effectiveness of different methods of detection of heart contusion in patients with combined traumas of the chest allowed detailed elucidation of the criteria of diagnostics of heart contusions by means of electrocardiography, integral rheography of the body, ultrasonography, enzyme diagnostics. A comparative analysis has shown that none of the available now methods can be taken as absolute. The complex use of these methods only can make the maximum objective diagnosis of heart contusion. This approach allowed the authors to make the amount of diagnostic errors 18% less in patients with a combined trauma of the chest and thus to improve the results of treatment.