Vestnik khirurgii imeni I. I. Grekova
-
Vestn. Khir. Im. I. I. Grek. · Dec 1988
Case Reports[Epidural-sacral anesthesia in radical surgical treatment of acute paraproctitis].
The epidural-sacral anesthesia was used in 242 patients operated upon for different forms of acute paraproctitis. No complications resulting from the anesthesia were noted. The incidence of failures in performing epidural-sacral anesthesia was 3.6%. The epidural-sacral anesthesia has advantages over other kinds of anesthesia, is safe and not technically difficult and practically has no contraindications.
-
Vestn. Khir. Im. I. I. Grek. · Oct 1988
Comparative Study[Status of the blood coagulation system in traumatic disease].
Under examination there were 198 patients with severe mechanical traumas at their admission to the clinic and on the 1st, 3d, 7th, 14th and 21st days by 25 hemocoagulation parameters determined by common present-day methods. The direction and degree of hemocoagulation alterations were found to be related with the severity of trauma, blood loss volume and severity of shock. It was shown that disseminated intravascular coagulation (DIC) of the II and III degree was developing in critical associated traumas, massive blood loss and severe shock in acute period of the disease. The acute form of DIC with reactive fibrinolysis was established in the lethal outcome during the shock period, latent (slow) DIC with local fibrinolysis took place in lethal outcomes in later periods.