Vestnik khirurgii imeni I. I. Grekova
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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.
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Vestn. Khir. Im. I. I. Grek. · Jan 2006
[Surgical strategy for combined gun-shot wounds of extremities with injuries of main arteries].
An investigation of materials of treatment of 130 wounded with combined wounds (CW) of extremity blood vessels during war in Afghanistan and in counter-terrorist operations in the Northern Caucasus has shown that the specific feature of surgical treatment of wounds of the extremity arteries associated with severe wounds of other localizations consists in limited possibilities to save the extremities. The scale MESS of a severity of extremity wounds was improved. ⋯ A. Kornilov classification of the severity of acute ischemia and a FS-MESS scale of extremity injuries.