Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Randomized Controlled Trial Comparative Study[Evaluation of the efficiency of balanced and unbalanced crystalloid solutions used in the program of infusion therapy in patients with blood loss].
The authors present a comparative assessment of the efficiency of balanced and unbalanced crystalloid solutions used in the program of infusion therapy in patients with blood loss. It was found that infusion therapy with unbalanced crystalloid solution facilitated the appearance of electrolytic changes and decrease of pH of venous blood while infusion therapy with balanced crystalloid solution did not cause negative changes of the water-electrolytic and acid-base balance.
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Comparative Study[Comparative assessment of inhalation anesthesia with sevofluran and intravenous anesthesia with propofol for carotid endarterectomy].
Total intravenous anesthesia with propofol and inhalation sevofluran was assessed in 130 patients with carotid endarterectomy. The parameters of brain blood circulation, brain damage markers were studied. It was shown that sevofluran anesthesia caused less depression of the hemodynamic parameters, supported more optimum level of brain blood flow that limited ischemic and reperfusion damage of the brain and was accompanied by a fewer number of postoperative complications.
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Case Reports[Gunshot combined spinal and craniocerebral injuries].
An analysis of 32 case histories of patients with gunshot wounds of the cervical part of the spine and spinal cord in combination with cranio-cerebral injuries is presented. In 11 patients with injuries of the spine and spinal cord it was shown that in 4 patients tetraplegia persisted in the postoperative period, 3 patients had Brown-Sequard syndrome, 1 patient had superior paraparesis, 3 patients had pelvis disorders. Rehabilitation procedures started as early as possible allow minimization of the neurological problems and, correspondingly, the degree of disability of the patients.
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Comparative Study[Reduction of shoulder dislocation by Kocher's method].
Many present-day manuals on surgery and traumatology give distorted description of the method of shoulder dislocation by Kocher. In treatment of 69 patients with anterior dislocation of the shoulder the authors used the original Kocher's method (without traction, countertraction, without an assistant) and studied its effectiveness and safety. ⋯ There were no complications. The original Kocher's method of reduction of anterior dislocation of the shoulder is effective and safe.
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Comparative Study[Intraventricular thrombolysis and liquor filtration in treatment of newborns with severe intraventricular hemorrhages].
The authors have analyzed 32 cases of complex treatment of severe forms of neonatal intraventricular hemorrhages and proved high clinical efficiency of complex treatment. The stage-by-stage application of tissue plasminogen activator and operation of extracorporeal cerebrospinal fluid filtration resulted in decreased mortality, reduced duration of the cerebrospinal fluid sanitation period, reduced number of shunting-dependent children. One year follow-up showed an improvement of the patients' quality of life.