Vestnik khirurgii imeni I. I. Grekova
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An analysis of 2376 case histories of patients with surgical infections has shown that in 827 (34.8%) patients the course of main disease was complicated by sepsis. The most frequent causes of the development of sepsis were surgical infections with localization in the abdominal cavity, lungs and mediastinum. ⋯ The annual growth of this category of patients was 8.3%. The outcome of abdominal sepsis was shown to depend on the score number according to scales APACHE II and SOFA, and on the timely operative treatment and beginning of antibacterial therapy.
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Vestn. Khir. Im. I. I. Grek. · Jan 2006
Multicenter Study[Surgical strategy for wound to the neck under conditions of medical institutions in peace time].
The work is based on a clinical-statistical analysis of results of treatment of 316 wounded with injuries to the neck got in different situations in St. Petersburg and admitted to the clinic of field surgery and other medical institutions of the city. It was found that unfavorable outcomes of treatment of neck wounds of peace time depend on the character of the neck wound, adequacy of medical aid at the pre-hospital period, the decision on the medico-diagnostic strategy. The decision on the medico-diagnostic strategy for wounded to the neck must depend on the diagnostic resources of the medical institution and the succession and volume of the medico-diagnostic measures must be chosen depending on the general state, life-threatening consequences of the neck wound and severe associated injuries of other anatomical areas.
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Vestn. Khir. Im. I. I. Grek. · Jan 2006
[Model of prognosis of outcome of burn trauma on the basis of probit-analysis].
On the basis of probit-analysis of results of treatment of 10,670 burned patients a prognostic model of the trauma outcome was created as a coordinate network. The model is very accurate, sensitive, specific and simple in use that allows it to be applied for prognosis of burn trauma outcomes in the early period after trauma, especially in organization of medical-evacuation work in places of appearance of mass burns. The model is a standard for the assessment of new protocols of treatment and can serve a criterion of the efficiency of work of intensive care units in burn centers.
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Vestn. Khir. Im. I. I. Grek. · Jan 2006
[Anesthesiologist-resuscitator: problems of training and maintenance of professional work].
The problems of psychological disturbances and insufficient profeccional skills amongst anaesthesiologists and intensive care specialists are discussed. The authors emphasized the need for special psychological education during refreshing courses and training period in residency. ⋯ The proper organization of the workplace is very important for successful performance and psychological condition of the personnel. The lack of profeccional Russian-language journals makes necessity for creation of a new textbook and periodical issue in paper and electronic format.