Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 1998
Comparative Study[Use of gelofusin in the clinics of the St. Petersburg's I.P. Pavlov State Medical University].
The authors analyze the results of using blood substitute made on the basis of gelatin and give a comparative characteristic of different colloid blood substitutes on the basis of dextran, gelatin, starch and polyethylene glycol. Advantages of Gelafusin are shown.
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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 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
Review Case Reports[Intestinal perforation in tuberculosis].
For 5 years the authors observed isolated abdominal tuberculosis in 6 patients. Five of them who were urgently operated upon had perforations of the tuberculous ulcers of the intestine. A specific character of the inflammation was confirmed by histological investigations. ⋯ One of them had six perforated tuberculous ulcers of the jejunum. All these patients died. Recommendations are given how to improve the diagnosis of abdominal tuberculosis and treat patients with this severe disease.