Sovetskaia meditsina
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Sovetskaia meditsina · Jan 1989
[Development of acute renal failure in crush syndrome and the methods of their complex treatment].
The author analyzes the many-year clinical experience gained in the treatment of 225 patients suffering from acute renal insufficiency resultant from the crush syndrome. He discusses the mechanism of the prolonged crush syndrome development, complicated with acute renal or hepatorenal insufficiency. ⋯ Special attention is paid to the principles and methods of present-day active therapy (hemodialysis, hemoperfusion, hemofiltration, plasmapheresis, plasmadiasorption; lymphologic detoxication methods, i.e. drainage of the thoracic lymph flow, endolymphatic infusion of etiopathogenetic agents). The author emphasizes that the treatment may be effective only when a complex of methods for detoxication and impaired homeostasis correction is employed.
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Sovetskaia meditsina · Jan 1989
[Treatment of open injuries in the victims of the earthquake in Armenian SSR].
The results of treatment of 36 patients injured during the earthquake in Armenia are analyzed. The patients had severe traumas: open injuries to the limbs, complicated by nephro- and hepatopathies. The periods of the limb crushing with fragments of ruined buildings varied from 3 hours to 3 days. ⋯ Restorative skin plasty was performed in 14 patients with 19 limb stumps, with good functional outcomes. The patients were directed to the Central Research Institute of Prosthetics to be supplied with prostheses. Only in 3 patients with the upper limb crushing the development of stable ischemic contractures could not be prevented.