Khirurgiia
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The authors have followed up 243 patients with bronchioalveolar cancer of the lung from 1979 to 1995 years. The age of the patients varied from 39-83 years. ⋯ Favourable long term results were obtained only in nodular forms of bronchioloalveolar cancer. The main diagnostic methods were roentgenological examination tramstriracic puncture and repeated studies of the phlegm.
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The experience of treatment of 44 patients with traumatic and abdominal aorta and inferior cava vein is represented. All traumatic injuries of these vessels were accompanied by damages organs. Various kinds of vascular suture and angioplasty with synthetic prostheses were used. 17 operated patients died (38.6%). 19 patients were followed up for period from 1 to 8 years after surgery. Neither arterial nor venous blood flow disturbances were revealed.
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We developed well grounded differentiated methods of rehabilitation treatment in low mountains for patients after surgery for ischemic heart disease. Evaluation of the results was carried out with due account for variety of clinical course of the disease, condition of coronary and myocardial reserves of the heart and concomitant diseases. 475 males aged 22-65 years who underwent aorto-coronary bypass surgery for CAD were examined. ⋯ Differentiated methods of the usage of terrain cure in the complex of sanatoria and health resort treatment are developed and introduced into practice. Severity of the principal disease, extended scar formations in the myocardium and concomitant diseases are the reasons influencing low effectiveness of the treatment.
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The largest in Russia experience of diagnostics and treatment victims with side-arms' wounds of the neck (492 patients) is represented. The authors subdivide allo wounds into superficial (170 cases without mortal outcomes) and profound ones (322 cases with total mortality rate as 6.8%). ⋯ Complex of diagnostic methods, which application depends on severity of the patients condition, is substantiated. The standard surgical approach in profound injuries of the neck is considered to be an anterior colotomy.
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In 203 (5.9%) of 3420 patients with acute pancreatitis clinical signs of suppurative inflammation were present. In all the cases purulent pancreatitis has developed on the background of destructive pancreatitis. The rate of purulent complications in 1003 patients with destructive forms of pancreatitis was 20.2%. ⋯ It is 6.8% of all the patients with destructive pancreatitis. Purulent pancreatitis, purulent parapancreatitis, purulent peritonitis and polyorganic insufficiency were distinguished and analysed based on the intraoperative and morphologic data. Lethality in surgery of purulent complications of pancreatitis was 57.3% (38 of 68 patients).