Vestnik khirurgii imeni I. I. Grekova
-
Vestn. Khir. Im. I. I. Grek. · May 1991
[Diaphragmatic ruptures in combined injuries to the chest and abdomen].
An experience with diagnosing and surgical treatment of 16 patients with rupture of the diaphragms is described. Operations were performed on 13 patients, 10 of them by the laparotomy access, 3 patients by the transpleural access. In patients with an extensive rupture of the diaphragm continuous respiratory insufficiency was observed in the postoperative period which required the artificial ventilation of the lungs. Eight patients died, 3 of them without an operative treatment, 3--from pulmonary complications and 2--from a cerebro-cranial trauma.
-
Vestn. Khir. Im. I. I. Grek. · May 1991
[Prolonged spinal anesthesia in patients with a high surgical-anesthesiological risk].
In order to prolong the time of spinal anesthesia (SA) and to reduce the doses of local anesthetics a method of catheterization of the subarachnoid space was used in 73 patients. The SA was performed as a fractional infusion of 2% solution of lidokain. Its doses were within the range of 7-11 ml. The prolonged SA is considered to be an adequate method of anesthesia in patients with high risk of the development of neurological, cardiovascular and pulmonary complications.
-
Vestn. Khir. Im. I. I. Grek. · Apr 1991
Comparative Study[The thromboembolic syndrome in the surgery of rheumatic heart defects].
An experience with the treatment of 380 patients with rheumatic heart disease has shown that late stages of the disease are necessarily accompanied by the thromboembolic syndrome having exact clinical manifestations and definite stages. Pathogenesis of the thromboembolic syndrome is based on changes of the vascular bed, microcirculation and hemocoagulation parameters. So, control of factors of thrombus formation, prophylactics and therapy of thromboses and embolism are necessary in the process of surgical treatment of acquired heart diseases.