Biomedical subjects
Publications and source records attributed to D M Vorypin.
The results of diagnosis and treatment of 1483 children were analyzed in order to determine the frequency of clinical symptoms and laboratory indices in children with acute appendicitis. Seven most valuable objective parameters were stressed which allowed to differentiate the strategy in situations difficult for diagnosis.
The inclusion of autotransfusions of the UV-irradiated blood in the complex of therapeutic measures for the treatment of children with peritonitis resulted in substantial shortening of the time of treatment and in a less volume of the infusion therapy. The autotransfusion of the UV-irradiated blood brings about positive dynamics of the ABC of blood, the content of immunoglobulins in plasma becomes normal within 5-6 days. The non-specific resistance factors were found to be activated.
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The work presents an analysis of 27 cases of acute hematogenic osteomyelitis with multiple injuries of bones. It has been noted that unlike primary localizations which often turn into a chronic process the secondary foci in such patients are frequently treated with good long-term issues. Lethality among patients with multiple osteomyelitis according to the authors' data is considerably higher (26%) than that in patients with the injury of one bone (0,8%).
The authors analyze 14 cases of acute hematogenic osteomyelitis of the vertebral column in children. Three variations of the clinical picture are described: meningitis-like, local and lightening types. Roentgenological symptoms were late to appear and certain patients might have no symptoms at all. Formation of purulent tuberculous abscesses near cartilaginous ends of ribs were observed and considered to be a characteristic feature of osteomyelitis of thoracic vertebrae in infants. The authors point to difficulties in opening the purulent abscesses and to the importance of complex treatment. Seven patients died.