[Clinic, diagnosis and treatment of children with inborn cleft of anterior abdominal wall].
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Biomedical subjects
Publications and source records attributed to G A Sopov.
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Twenty-five years experience of diagnosis and results of treatment of 143 childs aged from 10 days to 15 years with sizable mediastinal formations was summarized. Benign tumor was revealed in 50 (34.96%) childs, malignant one--in 93 (65.04%). Groups of most important symptoms were suggested: generally somatic, compressive, neurological. Principal method of diagnosis of mediastinal tumor in children--the survey roentgenography of thoracic organs in two projection. Immediate and late follow-up results of operative intervention were estimated, diagnostic mistakes were analyzed.
The results treatment of 33 children at the age between 3 and 15 with surgical pathology of thyroid gland have been estimated. They have demonstrated that malignant neoplasma (cancer) is very rare in this group of patients 15.5%. The diseases of the thyroid gland may cause some difficulties in diagnosis and choosing the method of treatment. All sizeable formations of the neck that lie medial or paramedial have to be examined with ultrasound. The removal of dystopic thyroid gland usually causes hypothyrosis. It is difficult to differentiate adenomas and cysts from malignant tumours and that is why it is necessary to do a puncture biopsy and subsequent surgery.
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The results of treatment of 139 patients with congenital pyelo-ureteric segment (PUS) narrowing were analyzed. Plastic operation was conducted in 117 of them, PUS plasty with the flap application--in 22. The prognostic significance of sign's norm deviations of the PUS diameter and length ratio as a risk factor was studied to substantiate the numerical criterion--of operation method choice. In accordance with this prognostic significance the value of Student's criterion was calculated. When the value of ratio is no more than 0.3--the narrowed part resection with subsequent ureteropelviostomy is indicated, and when this value is 0.31 or more--the PUS plasty with the flap application.
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In children with acute surgical pathology of the abdominal organs in intraintestinal administration of saline solutions, the normalization of the indices of homeostasis and restoration of motor activity of the intestine after the operation were more rapid than in use of parenteral treatment.
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On the basis of mathematical analysis of the long-term results of operative treatment of 119 children with unilateral hydronephrosis caused by congenital obstruction of the pyelo-ureteral segment, the prognostically significant signs (risk factors) having unfavourable effect on the outcome of an operation were revealed. In retrospective analysis, the main types of the course of unilateral hydronephrosis in children were distinguished. In stable course, the conservative therapy is indicated, in non-stable--the intensive medicamentous therapy, or repeated corrective operation, in progressive--nephroureterectomy .
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The authors provide the results of studying some characteristics of immunity and lipid peroxidation (LPO) in babies (n-123) with pyoseptic diseases. The changes in the immune status and LPO seen in children with pyoseptic diseases reflect the gravity of the clinical status, being an objective criterion in the all-round assessment of the treatment efficacy and prediction of the pathological process. These changes also form the basis for institution of the pathogenetic correction and rehabilitation therapy.
The results of examination of 83 children with purulent diseases of the lungs and pleura at the age under 6 yrs are presented. The indices of activity of the immunity, intensity of the processes of peroxide oxidation of the lipids, and level of the middle mass molecules were studied. The correlative relationship between them depending on the severity of the course of the disease was revealed.
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