PubMed Health⌕ Search

Biomedical subjects

E Mikhaĭlov

Publications and source records attributed to E Mikhaĭlov.

4 recordsLinked to original sources
PubMed1997

[Rib fractures and flail chest in closed chest trauma--stabilizing operations and the results].

A contingent of patients presenting closed chest injuries, sustained over a 12-year period (1985-1996), are analyzed. Of the total of 6938 traumas, chest injuries amount to 3286 (47.06 per cent) of which 2842 (40.7 per cent)-closed. Of the latter 2248 (79.09 per cent) are located in the left thoracic half, 420 (14.77 per cent)-in the right thoracic half, and in 174 (6.12 per cent) it is a matter of bilateral involvement. At the point of heaviest impact, involving 5th to 9th rib segment, left side injury is recorded in 2034 cases (71.56 per cent), right side--408 (14.35 per cent), and bilateral--in 155 (5.45 per cent). There are 28 fractures of the sternum (0.85 per cent). Of the latter 14 are located in the manubrium sterni region, twelve--in the middle portion, and two in the distal part of the sternum. Over the last 5 years (1991 through 1995), of 63 casualties with flail chest 16 are with indications for stabilization osteosynthesis, and accordingly subjected to operation. A Schimelmann plate is used in 13 cases, artificial rib type "Ampar"--in three, and sternal stabilization--in one.

Bone Plates↗
PubMed1989

[Acute pancreatitis].

Clinical records of acute pancreatitis for the period 1983-1987 are summarized. Included in the study were 312 cases. The morbidity curve showed biphasic age pattern. The increased diagnostic importance of blood and urinary alpha-amylase and of leucocytosis is emphasized; their levels were increased above the normal ones accordingly in 62.54 +/- 3.54%, 83.55 +/- 2.23% and 58.90 +/- 3.65% of the cases. Echographic examination of the abdominal organs is essential for the diagnosis. Sixty seven patients (21.48 +/- 0.2 per cent) were operated with case fatality rate 23.88 +/- 17%. Of those who received conservative treatment four died (1.63 +/- 0.81 per cent). kontrikal was applied in 91.99 +/- 1.60% of the cases. The overall mortality for five years was 6.41 +/- 1.39 per cent. Analysis was made of the number and type of operative interventions, the post-mortem finding and the complications. It is assumed that the rather good results of treatment of acute pancreatitis were due to the complex approach including lavage of bursa omentalis and the abdominal cavity in complicated cases, applied in the last 3-4 years.

Acute Disease↗