ABSTRACT
Causes of gastrointestinal bleedings in patients treated from 1995 to 2001 were analyzed. Rare causes of bleeding were studied particularly. Four cases of patients hospitalized urgently for gastrointestinal bleeding are described in detail. In autopsy of these patients different variants of vascular fistulas of duodenobiliary zone were revealed: fistula of aneurysm of abdominal aorta with blood bursting into horizontal part of the duodenum (2 cases), fistula between diverticulum of proximal part of jejunum and abdominal aorta (1), choledochoportal fistula (1). Clinical and anatomical correlations differential-diagnostic difficulties were analyzed.
Subject(s)
Arteriovenous Fistula/diagnosis , Bile Ducts/blood supply , Duodenum/blood supply , Hepatic Artery , Hepatic Veins , Aged , Arteriovenous Fistula/complications , Arteriovenous Fistula/surgery , Diagnosis, Differential , Fatal Outcome , Female , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/etiology , Humans , Male , Middle AgedABSTRACT
The experience of treatment is available for 404 patients with mechanical obstruction in cancer of the colon. Clinicoroentgenological and ultrasound examinations of the organs of abdominal cavity provided early diagnosis of the disease. Radical operations were carried out in 59.7% of the patients, palliative ones--in 40.3%. Radical right-sided hemicolectomy was completed by creation of ileotransversoanastomosis, in left-sided hemicolectomy it was obligatory to take out both ends of the resected colon (if it is possible technically and later restoration of its continuity is planned), or the operation of Hartmann type was performed. The operation should be completed in bowel decompression by nasointestinal intubation. It should be used the term "resolved" or "unresolved" bowel obstruction after the performance of conservative measures, and the term "partial bowel obstruction" should not be used as it presents formulation of treatment policy and may be the cause of undue delay of the operation.
Subject(s)
Colonic Neoplasms/complications , Intestinal Obstruction/etiology , Adult , Aged , Aged, 80 and over , Anastomosis, Surgical , Colectomy , Colon/surgery , Colonic Neoplasms/diagnosis , Colonic Neoplasms/surgery , Female , Humans , Ileum/surgery , Intestinal Obstruction/diagnosis , Intestinal Obstruction/surgery , Male , Middle AgedABSTRACT
The retrospective analysis of case histories of 28 patients subjected to erroneous laparotomies in 1988-1992 has been done. The total number of patients, who had urgent abdominal operations for this period of time, was 5115. Atypical clinical course of the disease, improper diagnosis and interpretation of the disease symptoms, senile age of the patient are major causes of the erroneous laparotomies. To avoid erroneous laparotomy laparoscopy and ultrasound examination of abdominal cavity should be used widely, other medical specialists (urologist, gynaecologist) should be involved in diagnosis, especially in senile patients.
Subject(s)
Diagnostic Errors , Emergencies , Laparotomy , Adult , Age Factors , Aged , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Selective denervation of the lung (SDL) has been conducted in 389 patients with bronchial asthma. This operation stimulates function of Tg-suppressors, enhances the activity of blocked adrenergic structures and glucocorticoid supply, attenuates adrenal and extraadrenal insufficiency. SDL is thought pathogenetically validated in bronchial asthma with deficient suppression, generalized adrenodeficiency, combined glucocorticoid insufficiency.
Subject(s)
Adaptation, Physiological , Asthma/physiopathology , Asthma/surgery , Denervation , Lung/innervation , Adolescent , Adrenergic Fibers/physiology , Adult , Glucocorticoids/physiology , Humans , Middle AgedSubject(s)
Gastric Dilatation/diagnosis , Pancreatitis/diagnosis , Pneumonectomy , Acute Disease , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/surgery , Combined Modality Therapy , Diagnosis, Differential , Emergencies , Gastric Dilatation/pathology , Gastric Dilatation/surgery , Humans , Lung Neoplasms/pathology , Lung Neoplasms/surgery , Male , Middle Aged , Necrosis , Neoplasm Recurrence, Local/pathology , Pancreas/pathology , Pancreatitis/pathology , Pancreatitis/surgerySubject(s)
Duodenal Ulcer/complications , Hemostatics/therapeutic use , Peptic Ulcer Hemorrhage/drug therapy , Somatostatin/therapeutic use , Stomach Ulcer/complications , Clinical Trials as Topic , Contraindications , Duodenal Ulcer/drug therapy , Hemostatics/pharmacology , Humans , Somatostatin/pharmacology , Stomach Ulcer/drug therapySubject(s)
Asthma/immunology , Bronchoscopy , Adult , Asthma/therapy , Female , Humans , Male , Middle Aged , Models, BiologicalABSTRACT
A total of 30 patients (29 with peptic ulcer and 2 with erosive gastroduodenitis) received lecedil, a new famotidine blocker of histamine H2-receptors. The effect of the drug was not related to the dose regimen (20 mg twice or 40 once a day). In good tolerance side effects were not reported. Healing of duodenal ulcer occurred within 4 and 5 treatment weeks in 17 (85.0%) and 19 (95.0%) out of 20 patients, respectively, within 6 and 8 treatment weeks ulcer healed in 5 and 6 out of 8 gastric ulcer patients, respectively.
Subject(s)
Famotidine/therapeutic use , Peptic Ulcer/drug therapy , Adult , Female , Humans , Male , Middle Aged , Treatment OutcomeABSTRACT
The authors describe 21 complications which occurred in puncture catheterization of the subclavian vein in 1,276 (1.65%) patients. They varied widely in character--hemothorax, pneumothorax, thrombosis of the subclavian vein, etc. The case record of one patient with traumatic pneumothorax after puncture catheterization of the subclavian vein is discussed in detail.
Subject(s)
Catheterization, Peripheral/adverse effects , Pneumothorax/etiology , Punctures/adverse effects , Subclavian Vein/injuries , Acute Disease , Aged , Blood Transfusion , Combined Modality Therapy , Humans , Male , Peptic Ulcer Hemorrhage/complications , Peptic Ulcer Hemorrhage/therapy , Pneumothorax/pathology , Recurrence , Stomach Ulcer/complications , Stomach Ulcer/therapyABSTRACT
Immunological reactivity, sympathetic-adrenal+ and pituitary-adrenal systems were studied in 758 patients with bronchial asthma. The results served the basis for construction of 4 adaptogram types which reflect the status of adaptation. Therapeutic and surgical indications are suggested for bronchial asthma sufferers allowing for the relationship between standard conservative treatment, modification of immunity, various surgical interventions and adaptation status.
Subject(s)
Asthma/therapy , Bronchi/innervation , Bronchodilator Agents/therapeutic use , Homeostasis/physiology , Sympathectomy/methods , Adolescent , Adult , Aged , Asthma/physiopathology , Bronchi/drug effects , Bronchi/physiopathology , Female , Humans , Middle AgedSubject(s)
Colonic Diseases/diagnosis , Colonic Neoplasms/diagnosis , Intestinal Obstruction/diagnosis , Acute Disease , Adult , Aged , Aged, 80 and over , Colectomy/methods , Colonic Diseases/etiology , Colonic Diseases/surgery , Colonic Neoplasms/complications , Colonic Neoplasms/surgery , Drainage/methods , Humans , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , Middle Aged , Time FactorsABSTRACT
Indications for various types of operative intervention in 411 patients (among 986 patients who were examined in a specialized pulmonological department) were determined according to the degree of functional and morphological changes of the respiratory tract by means of complex radiological examination together with other modern methods (radioisotope, immunological, bronchological, etc.) for examination of the bronchopulmonary system in bronchial asthma.
Subject(s)
Asthma/surgery , Lung/diagnostic imaging , Adolescent , Adult , Aged , Asthma/classification , Asthma/diagnostic imaging , Bronchography , Denervation , Female , Humans , Male , Middle AgedABSTRACT
The authors describe curative methods of treatment of inflammatory diseases of the gallbladder in 12 patients with bronchial asthma. Sanitation of the surgical infection focus (cholecystectomy) improves the clinical course of bronchial asthma, positively influences the immune status of the patients.
