Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 1998
[Experience in using artificial pulmonary ventilation with an inverse ratio of the respiratory-cycle phases in acute lung injury in the victims of severe wounds and mechanical damages].
The possibility of using the methods of artificial pulmonary ventilation (APV) with positive pressure at the end of expiration (PPEE) and inverse ratio of the respiratory cycle phases for treatment of patients with grave wounds and mechanical injuries is assessed. PPEE is shown to have negative influence on gas exchange respiratory biomechanics and hemodynamics. The using of APV with inversed phases of the respiratory cycle allow to avoid the negative influence of APV on hemodynamics, improve the gas exchange and respiratory biomechanics indices as well as to reduce the amount of complications. The criteria are proposed showing when it is expedient to substitute the routine APV for the APV with inversed respiratory cycle phases.
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Vestn. Khir. Im. I. I. Grek. · Jan 1998
[Sepsis. The importance of unified concepts (apropos the articles by M. V. Grinëv and M. I. Gromov "Sepsis. The polemical aspects of the problem" and I. A. Eriukhin and S. A. Shliapnikov "Generalized forms of the inflammatory reaction and of surgical infection. Current problems in the terminology and delimitation of concepts")].
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Vestn. Khir. Im. I. I. Grek. · Jan 1998
Historical Article[150 years of the use of ether anesthesia in Russia].
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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.