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Biomedical subjects

E A Vagner

Publications and source records attributed to E A Vagner.

At least 19 recordsLinked to original sources
PubMed1993

[Treatment of patients with ureteral calculi].

Various methods of treatment were introduced to improve the results of management of patients with stones in the ureters and early restoration of their working capacity. Emergency ureterolithotomy (197 patients) reduced the incidence of postoperative complications by 2.4 times and the duration of in-patient treatment by 1.8 times. Hermetic sealing of the ureteral suture with glue in ureterolithotomy (43 patients) led to airtightness of the suture in 93.0% of cases. Needle reflexotherapy relieved an attack of renal colics in 94% of patients. After general multicomponent vibration (71 patients) and sonic stimulation (216 patients) the stones were discharged in 80.3 and 93.1% of patients, respectively. The application of organizational measures (creation of a city center of emergency urological service) and introduction of new methods for treatment of ureteral stones reduced the terms of rehabilitation of patients by 1.8 times, the economical effect in this case came to 392,3 rubles per each patient.

Colic↗
PubMed1991

[Blood reinfusion in stab-incision heart injuries].

The authors had 110 patients with heart injuries (HI) under observation. The blood loss was, 1,092 +/- 120 ml in isolated HI and 2,410 +/- 246 ml in combined HI. Blood reinfusion (BR) was performed during 91 operations, the average volume was 1,233 +/- 215 ml. The peculiarities of reinfusion techniques are analysed and its advantages and shortcomings are critically appraised. The causes of fatal outcomes are shown according to the character of the heart damage and the volumes of blood loss and reinfusion. Mortality in HI with the use of BR was 16.5%.

Adolescent↗
PubMed1991

[Surgical interventions in tuberculosis of the lungs without prior antibacterial therapy].

Operations were performed on 102 patients (93 with tuberculomas, 2 with fibrocavernous tuberculosis, and 7 with infiltrative tuberculosis of the type of caseous pneumonia) without preoperative chemotherapy. Certain difficulties in identification of the nature of the disease in tuberculomas are pointed out. It is shown that only emergency histological study helps to avoid errors. Postoperative complications occurred in 5.9% of patients. Exacerbation of tuberculosis after economical resections in tuberculomas occurred in 2.1% of patients due to a nonradical intervention. The expediency of early interventions which allow the term of treatment to be shortened is shown.

Adolescent↗
PubMed1991

[Principles of the correction of central hemodynamic disorders in severe combined thoracic trauma].

Successive treatment of syndromes of circulatory disorders on the basis of complex evaluation of central hemodynamics was conducted in 73 patients with severe closed chest trauma. Reinfusion reduced the requirements for donor blood by 28%. The volume of the infusion-transfusion therapy was regulated according to the ventricular filling pressure and the Frank-Starling curves. The optimal level of pulmonary capillary pressure blocking was 12-20 mm Hg in patients with cardiac insufficiency and 8-12 mm Hg in the other patients. Spasmolytics, saluretics, and droperidol were prescribed and fluid intake was limited in pulmonary circulation hypertension. Cardiac glycosides, calcium preparations, antiarrhythmic agents, and diuretics were given in cardiac insufficiency.

Adult↗
PubMed1990

[Heart injuries in isolated and multiple trauma].

Under investigation were specific features of the clinical picture in 34 patients with associated wounds of the heart and pericardium. Four dissimilar clinical groups were established. A comparative analysis of associated and isolated injuries (38 patients) has been made from the viewpoint of frequency of diagnostic errors, volume of the intraoperative blood loss and character of postoperative complications.

Abdominal Injuries↗
PubMed1990

[Methods of regional analgesia in closed trauma of the chest].

The literature data has been analysed to evaluate the efficacy of the methods of regional analgesia (RA) in closed chest trauma. Various types of blocks are described. Epidural analgesia with local anaesthetics and narcotics is detailed. Epidural electrostimulation and introduction of drugs affecting the endogenous systems are shown to show good promises.

Anesthesia, Conduction↗
PubMed1990

[Endoscopic occlusion of the bronchial stump in bronchial insufficiency].

The results of endoscopic occlusion of the stump of the main bronchus in its insufficiency were studied in follow-up periods of up to 3 years in 27 patients. The indications for the method were developed and the techniques of the occlusion described. Endoscopic occlusion is most expedient and sparing in early insufficiency of the bronchial stump under conditions of acute pyothorax and the presence of complications in a solitary lung. Its application is not opposed to the other commonly used methods of treating bronchial fistulas after pulmonectomy.

Adult↗
PubMed1989

[Surgical treatment of complicated esophageal diverticula].

In 1973-86 the authors encountered esophageal diverticula (ED) in 44 patients. The disease was clinically manifested in all cases. Concomitant diseases of the abdominal and thoracic organs were found in 27 patients; ED followed a complicated course in 23 patients. Progressive clinical signs due to increase in the size of the diverticulum and the presence of complications are considered to be indications for operation. The surgery was performed on 18 patients. Complications developed in 4 cases after diverticulectomy. There were no fatal outcomes.

Adult↗
PubMed1989

[Clinical value of transesophageal electric stimulation of the heart in patients with occlusive diseases and aneurysms of the aorta and major arteries during preparation for surgery].

A total of 325 patients with occlusions and aneurysms of the aorta and its main branches were investigated preoperatively. The patients were divided into 2 groups; in one of those (32 patients), esophageal electrostimulation of the heart was used for the diagnosis of latent coronary insufficiency. In addition to the degree of myocardial ischemia, the efficiency of antianginal drugs and the results of preoperative medication were assessed here. Comparative analysis of the results demonstrated a higher sensitivity and diagnostic value of esophageal electrostimulation, as compared to routine lead tests, which, in combination with the test's simplicity and noninvasiveness as well as possible identification of diagnostically-meaningful criteria, makes it a method of choice.

Adult↗