[Case of successful thrombolytic therapy in complex cardio-pulmonary resuscitation for massive pulmonary thromboembolism in parturient after elective caesarian operation].

Pulmonary thromboembolism is a main cause of parturient mortality in the world. Recently there are few reports about a thrombolytic therapy use in parturient in medical publications. The article deals with a case of successful application of thrombolysis in a complex cardio-pulmonary resuscitation in parturient with massive pulmonary thromboembolism. Unexpected dyspnea and hypotension occurred in the 30 years old woman after elective caesarian operation. Syndrome S1-Q3 was fixed on an ECG monitor. Cardiac arrest was fixed in 10 minutes later. Streptokinase was administrated in a 1 hour after beginning of the resuscitation. Haemodynamic parameters recovered almost after the administration of streptokinase. Severe uterine bleeding occurred in 20 minutes after the administration. Uterine extirpation and tight tamponade of the small pelvis was performed for the bleeding stopping. Later a floating thrombus was diagnosed in the right femoral vein. Tromboectomy was performed. Convulsions had place on first and second day after the resuscitation. Cerebral edema was diagnosed by computed tomography. Consciousness occurred on the fourth day and the woman was weaned from the ventilator on the fifth day. The patient was discharged from the hospital on 20th day without neurological complications.

[Transduodental suprapapillar choledochoduodenal anastomosis--experience of 21 cases and review of the literature].

After the brief review of the diagnosis and operative treatment of the choledocholithiasis, be-nign stenosis of the distal common bile duct and inclaved common bile duct stone in papilla Vateri it is described laparotomiale antireflux transduodenal suprapapillare choledochoduodenostomy applied in the 13 patients.

[Method for the tube management of the dehiscence of the rectal stump after Hartmann's operation for neoplasia].

It is described operative method for the suture of rectal stump by tube management of dehiscence on the rectal stump after Hartmann's operation for the low proximal resection of the rectum for neoplasia. Es-sence for the method it is applied on the transrectal and -anal tube drainage.

[Vaginal echography in extrauterine pregnancy]. / Vaginalna ekhografiia pri izvunmatochna bremennost.

Twenty eight women with suspicion for extrauterine pregnancy were examined by a vaginal transducer. Extrauterine pregnancy was diagnosed in 18 of them, which was confirmed at the operation. There were no echographic data for tubal pregnancy in 10 of the women. Their further follow-up rejected the presence of extrauterine pregnancy. Three tubal pregnancies were discovered by routine monitoring of ovarian cycles. The immediate proximity of the vaginal transducer to the examined organs in the pelvis gives a possibility for exact topical diagnosis.

[Surgical decompression and postoperative local action on the small intestine in the combined treatment of intestinal obstruction and peritonitis]. / Operativnaia dekompressiia i postoperativnoe lokal'noe vozdeistvie na tonkuiu kishku v kompleksnom lechenii kishechnoi neprokhodimosti i peritonita.

The results of using the operative methods of decompression of the gastro-intestinal tract in 151 patients with longstanding ileus and peritonitis are discussed. Methods of continuous decompression giving local effect upon the intestinal wall in the postoperative period should be used in the critical patients. The results of studying certain biochemical aspects of lavage of the small intestine are described.