[Our experience with the treatment of the superior vena cava syndrome].
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Biomedical subjects
Publications and source records attributed to G Krustinov.
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Functional investigation was carried out on respiration and cardiovascular system of 57 adolescents with pectus excavatum. Right cardiac catheterization was performed to 10 of them. Two thirds of the cases with right bundle branch block and 7 out of the tenth with catheterizatium were established to have elevated telediastolic pressure in right ventricle and diminished cardiac index, supplying grounds to the authors to presume a difficulty in the filling of the right ventricle resulting from the mechanic pressure due to the deformity. Respiratory deviations proved to be negligible. The indications for operation are determined by the results from the complex functional examinations.
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After a brief literature review on the indidence of these diseases, the authors present a comprehensive analysis of a group of 117 patients, operated and treated by them, for the period from 1968 t0 1975 includ. They discuss in details the cardiocirculatory complications and ECG changes in those patients undergone operations for severe deformities of the anterior chest wall. Their observations and results obtained are well illustrated in three tables. Furthermore, they try to explain why those electrocardiographic changes do no disappear after the carried out operation treatment. Finally, they propose the inclusion of a new stage in the operation treatment of these patients, being a significant contribution to the operation treatment and the definite elimination of ECG changes.
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The authors induced acute blood loss in dogs and examined the changes in hemodynamics, hemodilution, blood coagulation acid-base balance and tissue respiration. They found that the most favourable hours for initial renimation were the first two hours. They used the Bulgarian plasma substitute reoisodex with very good effect on the indicated parameters and microcirculation. As a result of this the time for the appearence of irreversible stage in grave hypovolemia was prolonged with hours.
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