Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 1997
Comparative Study[The treatment of appendicular peritonitis complicated by septic shock in childhood].
The article presents an analysis of results of treatment of 39 children from 1 to 14 years of age with diagnosis of appendicular peritonitis complicated by septic shock. It was shown that complex pathogenetic treatment with controlled laparostomy, necessary compulsory or subsidiary artificial pulmonary ventilation before and after operative intervention, associated use of afferent methods allowed to decrease the number of lethal outcomes from 54.5 to 11.1%.
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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.