Sovetskaia meditsina
-
Sovetskaia meditsina · Jan 1989
[Development of acute renal failure in crush syndrome and the methods of their complex treatment].
The author analyzes the many-year clinical experience gained in the treatment of 225 patients suffering from acute renal insufficiency resultant from the crush syndrome. He discusses the mechanism of the prolonged crush syndrome development, complicated with acute renal or hepatorenal insufficiency. ⋯ Special attention is paid to the principles and methods of present-day active therapy (hemodialysis, hemoperfusion, hemofiltration, plasmapheresis, plasmadiasorption; lymphologic detoxication methods, i.e. drainage of the thoracic lymph flow, endolymphatic infusion of etiopathogenetic agents). The author emphasizes that the treatment may be effective only when a complex of methods for detoxication and impaired homeostasis correction is employed.
-
Application of algimaf, a new polymeric dressing, in local therapy of burn wounds is conducive to spontaneous epithelization of surface burns and favors effective autodermoplasty in thermal burns. Cytologic studies of the wound discharge and examination of the burn wound microflora qualitative and quantitative composition indicate a high therapeutic efficacy of the dressing.
-
Sovetskaia meditsina · Jan 1989
[Functional methods of examination of the victims of the earthquake with crush syndrome in the Armenian S.S.R].
The authors have developed a complex of measures including the known (tetrapolar rheoplethysmography, liver and kidney radiography) and the new tests (soft tissue scintigraphy) that have been used for the first time in this condition. Employment of these tests for the examination and monitoring the treatment of patients who were injured in the earthquake in Armenia has helped quantitatively assess the structural and functional shifts in the vital organs and injured limbs in the crush syndrome, thus being valuable for the organization and monitoring the efficacy of therapy and for predicting the outcome of injury.