Vestnik khirurgii imeni I. I. Grekova
-
Based on experimental and clinical data the authors propose a classification of closed thoracic traumas which allow to form relatively similar groups among patients with closed thoracic traumas having orientation of the leading pathogenetic factor. The proposed classification allows to form rational curative programs as early as at the prehospital and early hospital stages.
-
Vestn. Khir. Im. I. I. Grek. · Jan 1994
Comparative Study[The diagnostic and treatment characteristics of gunshot wounds to the organs of the urinary system in modern wars].
The frequency of injuries of the urinary system which are very severe is as high as 4% of all the wounds of other localizations. The high frequency of associated injuries, critical states of the wounded give very short time for urological examinations which prevents making the exact diagnosis. ⋯ The insufficient elimination of urine and inadequate drainage in wounds of the urinary bladder and urethra are followed by very severe complications. An analysis of the experience with treatment of wounds of the urinary system has shown that the medical evacuatory measures must be improved.
-
Vestn. Khir. Im. I. I. Grek. · Jul 1993
Comparative Study[The intensive therapy of acute respiratory failure in severe combined trauma with a closed chest injury].
The authors present a program of rational improvement of intensive therapy of acute respiratory insufficiency responsible for the development of normal compensatory processes of external ventilation. The main components of intensive therapy are: rational analgesia (continuous subpleural blockades), elimination of obstruction of respiratory pathways by sessions of independent respiration with oxygen mixture with positive pressure at the end of breathing out with phytoncides, moderate hemodilution, early recovery of enteral coming of fluid, prevention and treatment of respiratory infection. The use of the proposed intensive therapy in 41 patients improved the function of external ventilation and made the amount of pulmonary complications 4 times less.