[Hyperbaric oxygenation in the intensive therapy of hypoconjugation neonatal jaundice]. / Giperbaricheskaia oksigenatsiia v intensivnoi terapii gipokon''iugatsionnykh zheltukh novorozhdennykh.

Sixty-three newborns aged 4 +/- 1 days with hypoconjugation icterus and bilirubinemia of 313 to 524 mumoles/liter, prematurity of the I-II degree, birth injuries to the CNS, hypothyrosis, maternal diabetes mellitus, and threatened encephalopathy were examined. All patients were divided in 2 identical groups: controls (n = 30) and main (n = 33). The only difference was addition of HBO sessions to the basic complex of intensive care. In contrast to the controls, in the main group the level of indirect bilirubin was decreased 40% more intensively, the conjugation function of the liver for direct bilirubin was reliably improved by days 3-4 of therapy, by day 5 the enzymatic function of the liver was reliably normalized, mixed acidosis was arrested during the first day of treatment in more than 90% of patients, adequate glycemia and serum albumin concentrations were attained sooner, and the need in extracorporeal detoxication decreased.

[Surgical methods in acute cholecystitis in old and elderly patients with diabetes mellitus]. / Khirurgicheskaia taktica pri ostrom kholetsistite u bolnykh pozhilogo i starcheskogo vozrasta, stradaiushchikh sakharnym diabetom.

The authors analyse the results of surgical treatment in 105 elderly and old-aged patients who were admitted to the clinic for acute cholecystitis and concomitant diabetes mellitus of various severity. The results of clinical, biochemical, morphological, and cytochemical (salkaline phosphatase of neutrophilic leukocytes, HCT test, myeloperoxidase) studies revealed "the syndrome of mutual aggravation" of the pathological process. The authors conclude that an early (during the first 3 days after the onset of the disease and the severity of the "syndrome of mutual aggravation") operative intervention must be undertaken on this category of patients.

[The effect of hyperbaric oxygenation on the osmotic status of children with surgical pathology of the abdominal organs]. / Vliianie giperbaricheskoi oksigenatsii na osmoticheskoe sostoianie u detei s khirurgicheskoi patologiei organov briushnoi polosti.

The effect of hyperbaric oxygenation (HBO) on blood osmolality has been studied in children with abdominal pathology. It has been shown that HBO has a considerable effect on blood osmolality evident both during and after the HBO session. To prevent possible HBO-induced disturbances of blood osmolality special pretreatment with ten infusion solutions has been suggested. Pretreatment resulted in enhanced compensatory abilities of the body with regard to adaptation to HBO-associated osmotic stress. This may be confirmed by absolute values of blood osmolality and some ospogramme components and by the absence of complications in the pretreated children.

[Clinical and experimental grounds for the method of spontaneous respiration with difficult exhalation (lung inflation) in children]. / K klinicheskomu i eksperimental'nomu obosnovaniiu metodiki spontannogo dykhaniia s zatrudnennym vykhodom (razduvaniia legkikh) u detei

Three methods of inducing difficulty in breathing out in spontaneous ventilation are described: by means of a valve attached to an intubation tube (I), with a polyethylene sac secured hermetically on patient's head and connected to a source of oxygen (2), and also with the help of a low-pressure chamber for patient's body (3). Experiments and clinical observations (40 therapeutic seances in 23 children aged from 1 day to 7 years) have evidenced that this method is mostly more advantageous than artificial ventilation, it is highly efficient in treatment of aspiration pneumonia and pulmonary edema, also it may be used with prophylactic purposes following aspiration, artificial ventilation, in the immediate postoperative period, and after hyperbaric oxygenation.