Omental infarction: an unusual cause of acute abdomen in children.

Acute abdomen is caused by a wide variety of etiologies, many of which require surgical intervention. Two boys were hospitalized for acute abdominal pain and low-grade fever. Physical examination revealed epigastric and right upper abdominal fullness, and laboratory studies showed elevated erythrocyte sedimentation rates, with normal leukocyte counts and coagulation profiles. Abdominal ultrasound and computerized tomography revealed pseudotumor in both cases. Symptomatic treatment and cefazolin were administered, and pain and fever subsided after 6 to 10 days. Pseudotumor due to omental infarction can present as acute abdomen in children. A high index of suspicion and the use of both ultrasonography and computerized tomography will help avoid unnecessary surgical intervention in such cases.

[The therapeutic efficacy of the Russian bath]. / O lechebnoi éffektivnosti russkoi bani.

Some mechanisms of steam inhalation effects in patients with nonspecific pulmonary diseases have been investigated. This type of aerosol therapy proved highly effective due to its broncholytic, antimicrobial and pulmonary hemodynamic stabilizing actions.

[Surgical treatment of myasthenia gravis in children]. / Khirurgicheskoe lechenie miastenii u detei.

The article deals with the treatment of myasthenia in 33 children whose ages ranged from 3 to 15 years. Myasthenia of moderate severity was diagnosed in 14, severe in 15, and extremely severe in 2 children. To make a precise diagnosis, loading, neostigmine methylsulfate, cold, and D-tubocurarine tests were conducted. Thymectomy was performed in 32 patients. The operation was carried out through a T-shaped sternotomy approach. Thymogenic myasthenia was verified in 31 patients and thymomogenic only in one patient. There were no fatal outcomes. The late-term results were studied in 12 patients in follow-up periods of 3 to 6 years. Adaptational activity of the patients, anticholinesterase agents and the results of stimulant electric myography served as the criterion in appraising the late-term results. Modern diagnostic methods and surgical intervention ensure a favourable result in 75% of patients.

[Diagnosis and treatment of pulmonary complications in acute hematogenic osteomyelitis in children]. / Diagnostika i lechenie legochnykh oslozhnenii pri ostrom gematogennom osteomielite u detei.

The leading method of treatment of septic pneumonias with acute hematogenic osteomyelitis is considered to be liquidation of blockade of the small circuit blood circulation and differentiated infusion and drug intravenous therapy. The early radical sanitation of the initial focus prevents pulmonary complications, reduces lethality.

[Place of bronchography in the study and evaluation of the late results of the treatment of the pulmonary and pleural complications of acute pneumonia in children]. / Mesto bronkhografii v izuchenii i otsenke otdalennykh rezul'tatov lecheniia legochno-plevral'nyk oslozhnenii ostroi pnevmonii u detei.

Late bronchography was performed in 93 patients, in 46 patients it was made immediately after cupping the critical period of inflammation. The changes found were dependent on the character and size of the process. It has been established that in non-operated children contrasting the bronchi is indicated in late terms of chronic pneumonia in order to specify the residual changes and to choose further treatment.

[Late results of the surgical treatment of pulmonary and pleural complications following pneumonia in children]. / Otdalennye rezul'taty khirurgicheskogo lecheniia legochno-plevral'nykh oslozhnenii ostroi pnevmonii u detei.

Study of remote results of the surgical treatment of pulmonary-pleural complications of acute pneumonia in children permitted evaluating the efficiency of various methods. Drainage of the pleural cavity resulted in complete recovery if the suffering was caused by a small subpleural zone of necrosis. Suturing of destructive foci and atypical resections failed to result in a recovery. Anatomical resections gave favourable results in most critical patients. In acute period a differential approach to such patients is necessary.