Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2008
Comparative Study[Anesthesiological maintenance of endoprostheses of the hip joint].
An analysis of 44 clinical observations of anesthesia for endoprostheses of the hip joint fulfilled according to the protocol proposed by the authors was made. It includes the authors' variant of unilateral spinal anesthesia in combination with isoflurane inhalation. The indices of red blood, dynamics of the mean arterial pressure and of the motor block of the lower extremities were taken as objective criteria of adequacy of the anesthesia. The authors propose the protocol as the method of choice in endoprostheses of the hip joint.
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Vestn. Khir. Im. I. I. Grek. · Jan 2007
[Clinical significance of inflammation markers in abdominal sepsis patients].
Possibilities of using C-reactive protein (CRP), procalcitonin (PCT), interleukin-6 (IL-6), lactoferrin (LF) and sorption ability of erythrocytes (SAE) as markers of the severity, prognosis and criteria of effectiveness of treatment were studied in 334 patients with abdominal sepsis. The investigation of the sepsis marker dynamics has shown that fast kinetics of CRP and PCT makes it impossible to assess the prognosis and effectiveness of treatment using these markers. IL-6, LF and SAE are the only ones to be used for this purpose.
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Vestn. Khir. Im. I. I. Grek. · Jan 2007
Comparative Study[Potentialities of videothoracoscopy in diagnostics and treatment of traumatic hemothorax].
Therapeutic-diagnostic videothoracoscopy was used in complex treatment of hemothorax in 86 patients for isolated and combined stab-slash wounds and closed traumas of the chest. Thoracoscopy was not used in 321 patients with the same pathology taken as control. It was found that videothoracoscopy used for medium and big hemothorax always allowed the doctors to make the precise topical diagnosis of chest injury and due to medicinal endosurgical manipulations the thoracotomies were made 2.1 times more rarely, the duration of pleural drainage was 2.2 times shorter. Complications of the traumatic disease were 1.6 times less often, the time of in-patient treatment and lethality 1.3 times less.