Klinicheskaia meditsina
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Klinicheskaia meditsina · Jan 2015
Case Reports[DIFFICULTIES OF DIFFERENTIAL DIAGNOSTICS OF SEVERE COMMUNITY-ACQUIRED PNEUMONIA].
Severe community-acquired pneumonia implies the necessity of its early differential diagnostics from a wide range of nosological forms requiring not only therapeutic but also surgical treatment. The authors consider the causes of hypodiagnostics of community-acquired pneumonia and illustrate difficulties of differential diagnosis of this condition by concrete examples.
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Superior vena cava syndrome is a complex of symptoms developing as a result of disordered circulation in the superior vena cava system and impaired venous blood outflow from the upper part of the body. The classical signs of superior vena cava syndrome are cyanosis, swelling of the head, upper limbs and upper chest, dilatation of subcutaneous veins, apnea, hoarseness, cough, etc. Diagnostics of superior vena cava syndrome is based on chest X-ray and CT Superior vena cava syndrome is a rare condition and therefore usually unrecognized during the first examination of the patient.
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Klinicheskaia meditsina · Jan 2014
Case Reports[Successful treatment of severe HCV-cryoglobulinemic vasculitis with the use of CD20 monoclonalantibodies and antiviral agents].
This paper reports a case of successfuid treatment of severe HCV-cryoglobulinemic vasculitis with ulcerative necrotic skin lesions, digital necrosis, cryoglobulinemic glomnerulonephritis and sensorimotor neuropathy. Possibilities for the change of prognosis in the patients with HCV-cryoglobulinemic vasculitis are discussed along with the prospects for the improvement of antiviral and pathogenetic therapy.
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Klinicheskaia meditsina · Jan 2014
[Postoperative complications after orthotopic heart transplantation].
We analysed postoperative complications in 106 patients after orthotopic heart transplantation based on the results of prospective observations during 2 year follow-up. Survival was estimated at 83% (88 patients). ⋯ It is concluded that heart transplantation should be followed by thorough observation of the patients based at a specialized multi-field clinic to ensure continuous treatment and reduce lethality. Risk factors of unfavourable prognosis of heart transplantation are identified.