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E A Efremenkov

Publications and source records attributed to E A Efremenkov.

5 recordsLinked to original sources

[Excretory function of the kidneys during artificial circulation in patients operated on for acquired heart defects].

The authors have shown that the suppression of the excretory function of the kidneys during the period of artificial circulation is considerably dependent on the concentration of vasopressin in blood and the associated spasm of renal vessels. The use of morphine as the main medicine for general anesthesia with the dose of 3 mg/kg as compared with the dose 2 mg/kg, gives less level of vasopressin in blood and thus reduces symptoms of antidiuresis in response to the action of strong stressogenic factors.

Adolescent

[Ion-balanced cardioplegic solutions in cardiac surgery].

A comparative analysis of effectiveness of anti-ischemic defense of the myocardium performed in operations on the heart in 128 patients has shown that use of ion-balanced solutions is preferential since it allows reducing intrahospital lethality related with acute cardiac insufficiency from 13.3% to 6.3%.

Adolescent

[Postoperative psychoses in heart surgery].

The examination of 56 patients with psychoses following closed commissurotomy (in 1,24% of cases), open commissurotomy (in 3,22%) and prosthetics of heart valves (in 9,1%) enabled the authors to conclude that they are caused by hypercoagulative phase of the disseminated intravascular coagulation of blood.

Adult

[Central hemodynamics in diffuse peritonitis].

Under examination were 134 patients with diffuse peritonitis. The elevated indices of the central hemodynamics (hyperkinetic conditions) was established in the reactive phase of peritonitis followed by growing symptoms of heart failure and general decompensation of blood circulation in the toxic and terminal phases. A difference between the terminal phase of peritonitis and septic shock developing at early stages of the process is shown.

Adolescent