Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukraïny, Naukove tovarystvo khirurhiv Ukraïny
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Dying, but not the death, is an essential problem. The more we believe that death ends everything, the more we fear from death. All religions want to cut this fear. ⋯ Most of the dying patients wish to stay with their family. If this wish cannot be fulfilled, then a palliative care seems to be the most suitable alternative for an individual in terminal stage in modern society. In the Preshov region, there is a lack of hospices and palliative care does not cover the needs of terminally ill patients.
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Craniocerebral trauma (CCT) is an actual problem of modern medicine due to its high mortality incidence. Changes in hemostasis system may complicate the disease course and to cause the disseminated intravascular clotting syndrome occurrence. ⋯ Enzyme 5-nucleotidase is closely connected with thromboplastin. The raising of this enzyme activity may constitute an early diagnostic sign of hypercoagulation.
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Basing on clinical material--216 injured persons with the hand burns--the method of distant detection of the hand affection area was elaborated. On the skitz (with contours of the hand palm and back surfaces, divided by orientirs on anatomic-functional regions with determined indices of every region area toward general area of the hand) the contours of the hand burn affection were lined, total area of the segments affected calculated, permitting to determine the relative area of affection of the hand external cover in presence of superficial and deep burns and their general area. While clinical trial, there was noted, that the method secures simple, precise and painless detection of the hand affection area, do not demand material-technical resources and essential expanses of time, is simply repeated and may be applied in surgical practice for optimization of treatment of the hand burn trauma.
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The efficacy of preparation "Tachocomb" application in 224 children, ageing from 1 day to 18 years old, was studied up. The spectrum of the preparation studying had included the investigation of its properties, which secure an additional isolation for the intestinal and vascular walls defects, and hemostatic effect in the hemorrhage area as well. The data obtained trust the safety and efficacy of "Tachocomb" platelets application in pediatric surgery and permit to recommend them for improvement of the surgical treatment results.
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The results of examination and treatment of 140 patients with multifocal atherosclerosis in the Department of Surgery of the Main Vessels were analyzed. In 88 patients the affection of truncus brachiocephalicus arteries (TBCA), aorta and the lower extremities main arteries was diagnosed, in 8--hemodynamically significant affection of TBCA and coronary arteries, in 11--coronary arteries, aorta and the lower extremities main arteries, in 13--the affection of all three arterial basins. There was applied differentiated surgical tactic--the staged or one-stage reconstruction of arteries, depending on the degree of compensation present of cerebral hemodynamics, coronary and the lower extremities main arteries blood flow. In 97% patients good and fair results of treatment were noted.