[Accreditation of the surgical service in the ambulatory component as a factor in raising the quality of its activities].
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Biomedical subjects
Publications and source records attributed to A A Urmancheev.
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The immunological responsiveness was studied in 160 patients with generalized peritonitis. In the postoperative period, 51 patients underwent immunomodulating therapy. The highest effect was produced by transfusion of 300-400 ml leukoconcentrate.
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Sanitary losses in the city of Spitak were about 47.8%, injures of the middle and critical degree being diagnosed in 9.5%. During the first period (from December 9 to 14, 1988) patients admitted to the hospitals predominantly had traumas of the head, chest, extremities, vertebral column (86.3%). The crush syndrome and position compressions and their combinations with total cooling during this time were diagnosed in 61 victims (19%), and during the whole period of work--in 63 (7.6%). Success of treatment of the patients with this pathology was promoted by their having obtained qualified surgical and anesthesiological aid before evacuation to medical institutions of the Center in full value in combination with temporary admittance to the hospital at an average for 12-18 hours up to complete arrest of shock. During the first steps of evacuation the amputation of extremities was fulfilled in 3 cases.
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The examination of 107 patients with acute surgical diseases of the abdominal organs has shown the program of the development of the inflammatory process in the abdominal cavity to be greatly determined by the functional capacity and sequence of activation of lysosome enzymes of polymorphonuclear leukocytes--acid and alkaline phosphatase.
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