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1.
Vestn Khir Im I I Grek ; 137(12): 7-11, 1986 Dec.
Artigo em Russo | MEDLINE | ID: mdl-3824809

RESUMO

The method of stepwise regression analysis with the help of computer was used for a retrospective analysis of the prognostic value of indicators of the external ventilation and central hemodynamics (with special reference to age and volume of surgery) in 104 men with lung cancer. It was found that an analysis of these factors is enough for predetermination of duration of the postoperative period in its not complicated course. The priority of the estimation of the adaptive abilities of the circulation for such prognosis has been shown. The value of the method of integral rheography and the system of estimation of the indicators of central hemodynamics developed on its basis has been confirmed.


Assuntos
Neoplasias Pulmonares/cirurgia , Pneumonectomia , Adulto , Idoso , Teste de Esforço , Hemodinâmica , Humanos , Oxigenoterapia Hiperbárica , Neoplasias Pulmonares/fisiopatologia , Masculino , Pessoa de Meia-Idade , Pletismografia Total , Prognóstico , Respiração
2.
Vestn Khir Im I I Grek ; 131(7): 36-42, 1983 Jul.
Artigo em Russo | MEDLINE | ID: mdl-6623824

RESUMO

In experiments in rabbits the authors have elaborated safe (in relation to a barotrauma of the lungs) regimens of the pressure changes taking place while performing HBO. In the treatment of 127 patients with acute suppurations of the lungs and pleura it was established that a short course of HBO (4-5 sessions) in the regimens used was safe and clinically effective. The method is recommended for the treatment of patients with spreaded injuries of the pulmonary tissue developing with a pronounced endogenous intoxication.


Assuntos
Empiema/terapia , Hemodinâmica , Oxigenoterapia Hiperbárica , Abscesso Pulmonar/terapia , Pneumonia/terapia , Doença Aguda , Adolescente , Adulto , Idoso , Empiema/sangue , Empiema/fisiopatologia , Contagem de Eritrócitos , Humanos , Contagem de Leucócitos , Abscesso Pulmonar/sangue , Abscesso Pulmonar/fisiopatologia , Pessoa de Meia-Idade , Pneumonia/sangue , Pneumonia/fisiopatologia
3.
Vestn Khir Im I I Grek ; 143(11): 67-70, 1989 Nov.
Artigo em Russo | MEDLINE | ID: mdl-2534449

RESUMO

It was found that in practically healthy inhabitants of Alpine regions the real oxygen transport is maintained by hyperdynamic regimen of blood circulation, main role in its creation belonging to growth of the stroke volume. The estimation of changing hemodynamics parameters performed by the method of integral rheography is indicated for early detection of patients with risk of the development of pleura empyema after chest wounds.


Assuntos
Doença da Altitude/fisiopatologia , Altitude , Hemodinâmica/fisiologia , Hipóxia/fisiopatologia , Traumatismos Torácicos/fisiopatologia , Ferimentos Penetrantes/fisiopatologia , Adulto , Doença da Altitude/complicações , Empiema/etiologia , Humanos , Masculino , Fatores de Risco , Federação Russa , Traumatismos Torácicos/complicações , Ferimentos Penetrantes/complicações
4.
Vestn Khir Im I I Grek ; 137(10): 3-7, 1986 Oct.
Artigo em Russo | MEDLINE | ID: mdl-3798653

RESUMO

The relationship between the arterial resistance and pumping function of the heart was studied in 203 patients by the method of integral rheography. An inverse relationship between the pumping capacity of the heart and vascular resistance was confirmed at different stages of examination and treatment of the patients. The maximal levels of increase of the minute blood flow volume were established as well as the conditions under which the increase of the cardiac output discontinued despite the decrease of the postexercise.


Assuntos
Coração/fisiopatologia , Neoplasias Pulmonares/fisiopatologia , Pneumonectomia , Resistência Vascular , Adulto , Idoso , Volume Sanguíneo , Débito Cardíaco , Humanos , Período Intraoperatório , Neoplasias Pulmonares/cirurgia , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório
5.
Vestn Khir Im I I Grek ; 124(3): 60-6, 1980 Mar.
Artigo em Russo | MEDLINE | ID: mdl-7376368

RESUMO

Indices of the central hemodynamics were studied by the method of integral rheography in 76 male patients with obliterating lesions of the lower extremity arteries. The elasticity of the arterial vascular bed in these patients was found to reduce. It proved to be possible not only to estimate the effects of operative desympathization of the lower extremities but also to prognoze its nearest results by the data of temporal chemical desympathization of the lumbar ganglia by novocain or peridural blockade.


Assuntos
Arteriosclerose Obliterante/cirurgia , Endarterite/cirurgia , Perna (Membro)/inervação , Simpatectomia , Adulto , Idoso , Arteriosclerose Obliterante/fisiopatologia , Endarterite/fisiopatologia , Hemodinâmica , Humanos , Perna (Membro)/irrigação sanguínea , Masculino , Pessoa de Meia-Idade , Pletismografia Total , Prognóstico
6.
Artigo em Russo | MEDLINE | ID: mdl-12845901

RESUMO

The results of analysis of the composition of experts from the Northwestern region of the Russian Federation, who improved their skills at the Medical Academy of Postgraduate Training, Saint Petersburg, i.e. a regional training center for continuous postgraduate education of medical personnel, are presented in the article. The influence of the selected forms and purposes of such training as well as of the development level of outdoor training sessions and of need in certified personnel was defined. The study results promote the planning of the training-and-production activity of the regional training center for the purpose of meeting, as full as possible, the needs of health care institutions in the sphere of postgraduate training of personnel.


Assuntos
Educação de Pós-Graduação em Medicina/organização & administração , Educação/organização & administração , Estudantes , Educação de Pós-Graduação em Medicina/estatística & dados numéricos , Humanos , Medicina/estatística & dados numéricos , Federação Russa , Especialização , Estudantes/estatística & dados numéricos
7.
Vestn Khir Im I I Grek ; 138(4): 7-10, 1987 Apr.
Artigo em Russo | MEDLINE | ID: mdl-3629853

RESUMO

Clinico-laboratory examinations of 86 patients have shown that lung cancer develops against the background of activation of the thrombocytic link of hemostasis which manifested itself in thrombocytosis, greater degree of destruction of the lysosomal membranes, lower energy resources of the cells, their tendency to slow and little reversible aggregation. The authors consider that the indicators of the ADP-induced aggregation of thrombocytes may be used for prognosis of postoperative pyo-inflammatory and thromboembolic complications. HBO is good for correction of alterations in the thrombocytic link of hemostasis in lung cancer and its suppurative complications.


Assuntos
Plaquetas/fisiologia , Hemostasia , Neoplasias Pulmonares/sangue , Adulto , Idoso , Feminino , Humanos , Oxigenoterapia Hiperbárica , Neoplasias Pulmonares/cirurgia , Masculino , Pessoa de Meia-Idade , Síndromes Paraneoplásicas/sangue , Agregação Plaquetária , Contagem de Plaquetas , Pneumonectomia , Complicações Pós-Operatórias/sangue , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/terapia
8.
Vestn Khir Im I I Grek ; 140(2): 36-40, 1988 Feb.
Artigo em Russo | MEDLINE | ID: mdl-3388707

RESUMO

An examination of 49 patients with local and diffuse purulent peritonitis at different stages of surgical treatment has shown that the pyodestructive process in the abdominal cavity develops against the background of thrombocytosis, thrombocyte destruction, their decreased energy resources and tendency to retarded and irreversible aggregation. To correct the disturbed aggregation properties of thrombocytes the HBO and intraaortal infusions of antiaggregants and vasoactive drugs may be used.


Assuntos
Plaquetas/fisiologia , Peritonite/sangue , Agregação Plaquetária , Adolescente , Adulto , Plaquetas/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Contagem de Plaquetas , Trombocitose/etiologia
9.
Vestn Khir Im I I Grek ; 148(5): 154-8, 1992 May.
Artigo em Russo | MEDLINE | ID: mdl-1302946

RESUMO

Results of a complex clinico-functional examination of 48 patients after resection for lung cancer 8-10 years ago are presented. The satisfactory pumping function of the heart was revealed with practically normal volumes of the cardiac output. Among patients subjected to resection of a lobe of the lung two groups were determined: with relatively satisfactory parameters of the function of external respiration and blood circulation and with a pronounced degree of strain of the functioning of these systems.


Assuntos
Neoplasias Pulmonares/cirurgia , Pulmão/fisiopatologia , Pneumonectomia , Idoso , Humanos , Neoplasias Pulmonares/fisiopatologia , Masculino , Período Pós-Operatório , Testes de Função Respiratória
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