[Percutaneous transhepatic cholangiography, cholangiostomy and endoprosthesis of bile ducts in mechanical jaundice]. / Chreskozhnaia chrespechenochnaia kholangiografiia, kholangiostomiia i éndoprotezirovanie zhelchnykh putei pri mekhanicheskoi zheltukhe.

The following interventions were carried out in obstructive jaundice of various etiology: percutaneous transhepatic cholangiography in 186 cases (3.3% complications), temporary external drainage in 20, external-internal drainage in 8, and endoprosthesis of the bile ducts in 6 cases (17.6% of complications in endobiliary interventions). General efficacy of hepatocholangiography 88.9% (96.4% in dilated bile ducts and 67.8% in non-dilated bile ducts). Drainage and endoprosthesis of the bile ducts were resorted to not only to improve the patient's condition before the operation, but also as an alternative surgical intervention in cases of inoperable new growths of the ++hepato-pancreato-duodenal++ zone.

[The use of transvenous destruction of the atrioventricular junction for correcting hemodynamic disorders caused by ventricular-atrial conduction]. / Primenenie transvenoznoi destruktsii atrioventrikuliarnogo soedineniia dlia korrektsii narushenii gemodinamiki, vyzvannykh zheludochno-predserdnoi provodimost'iu.

The authors studied disorders of central and intracardiac hemodynamics occurring in electrostimulation of the ventricles attended by retrograde stimulation of the cardia. The experiments were conducted on 8 anesthetized dogs in whom, after disclosure of intact ventriculoatrial conduction, transvenous destruction of the atrioventricular junction was performed. Clinical study was carried out in 12 patients with continuous electrostimulation of the ventricles which caused retrograde stimulation of the atria, and in 19 patients with supraventricular tachyarrhythmia who were subjected to transvenous endocardial destruction of the atrioventricular junction. Due to the development of severe hemodynamic disorders in electrostimulation of the ventricles attended by retrograde stimulation of the atria the last named condition should be changed to ventriculoatrial dissociation which promotes growth of contractile activity and stroke volume of the left ventricle. Transvenous destruction of the atrioventricular junction is a reliable method for blocking retrograde conduction.

[Echography and direct anterograde cholangiography in the diagnosis of mechanical jaundice]. / Ekhografiia i priamaia antegradnaia kholangiografiia v diagnostike obstruktsionnykh zheltukh.

A comparison of the data of echography, percutaneous transhepatic cholangiography and operative findings in 35 patients with obstructive jaundice was made. The complex use of the ultrasonic and radiopaque examination gave more exact information of the place and character of obstructive bile ducts and allowed to choose a rational method of treatment.

[Experience with treating complicated forms of abscessing pneumonia in children]. / Opyt lecheniia oslozhnennykh form abstsediruiushchikh pnevmonii u detei

Under observation were 157 patients with different forms of abscessing pneumonias. Pleural complicaitons were noted in 113 patients (about 60%). The complex treatment was employed in all patients (intensive antibacterial therapy, immunotherapy, bacteriophage, administration of protein preparations, vitamin-therapy, fresh blood transfusion, artery system and by means of percutaneous catheterization of th subclavian vein. The results of the treatment are described.