[Clinical and anatomical basis for drainage of the lesser pelvis via the upper medial quadrant of the obturator membrane].
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Biomedical subjects
Publications and source records attributed to I A Ibatullin.
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Based on experimental and clinical data the authors propose a classification of closed thoracic traumas which allow to form relatively similar groups among patients with closed thoracic traumas having orientation of the leading pathogenetic factor. The proposed classification allows to form rational curative programs as early as at the prehospital and early hospital stages.
Experimental study of changes in central lymph flow dynamics in closed chest injury (CCI) showed that the lymphatic system responds mainly by increasing the rate of lymph escape. Progressive diminution of the lymph flow in encountered only in the cardial type of CCI. In the hemorrhagic form of CCI the lymph flow increased in the first minutes after the trauma in half of the cases and then reduced (below the initial values). Increase of the resorption-transport function of the lymphatic system in CCI is considered as a compensatory-adaptational mechanism directed at maintaining interstitial homeostasis. Reduction of the rate of lymph flow in the cardial and hemorrhagic forms of CCI is likely to suggest the development of insufficiency of lymph flow dynamics. A correlation analysis revealed a relationship of the rate of lymph flow to the central hemodynamic and external respiratory parameters.
It is known that severe combined maxillocranial trauma causes impairment of microcirculatory vessels of bulbar conjunctiva as well as changes of local (cervical) and systemic blood flow, prevailing on the side of injury. New trigeminosympathetic regional block was used to produce chemical neurotomy of sympathetic and parasympathetic portions of autonomous nervous system in the neck. This blockade induced positive changes of minute CBF and microcirculation of CNS and facial area. Modified trigeminal sympathetic regional blockade along with intravenous infusion of dimephosphone improves both microcirculation and reparative-proliferative process in impacted area.