ABSTRACT
New electrocoagulogram characteristics are suggested. Mathematical analysis has revealed a correlation between some acknowledged electrocoagulogram characteristics and the suggested tests, on the one hand, and plasma heparin tolerance, plasma recalcification time, prothrombin time, fibrinogen content, fibrinolytic activity, and fibrinase activity, on the other. The results of examinations of 76 patients with acute esophagogastroduodenal hemorrhages have confirmed a high informative value of the new characteristics and a possibility of determining the traditional coagulogram values from electrocoagulogram data. This recommends electrocoagulography as a rapid method for the diagnosis of blood coagulation disorders.
Subject(s)
Blood Coagulation Tests/instrumentation , Blood Coagulation Tests/methods , Gastrointestinal Hemorrhage/blood , HumansSubject(s)
Fibroma , Stomach Neoplasms , Adult , Fibroma/diagnosis , Fibroma/surgery , Gastroscopy , Humans , Male , Stomach Neoplasms/diagnosis , Stomach Neoplasms/surgeryABSTRACT
The 18-years experience of the clinic is presented with diagnosis and curative tactics for the Mallory-Weiss syndrome which was observed in 65 (4.7%) of 1392 patients with acute gastroduodenal hemorrhages. Urgent esophagogastroduodenoscopy has improved diagnostics during the recent 5 years which resulted in 10% increased diagnosing of the Mallory-Weiss syndrome in gastroduodenal hemorrhage from the total amount of such patients. Before introducing of endoscopic hemostasis with Ferakryl into clinic 4 of 24 patients were operated on and 20 patients were treated by conservative hemostatic methods. Four patients died: 2 after operations and 2 after the conservative treatment. Complex conservative treatment with curative endoscopy and Ferakryl used in the clinic during the recent 2.5 years resulted in stable hemostasis in all the 41 patients without lethal outcomes.
