[Experience in the use of the ISL-2 artificial circulation machine in the treatment of experimental terminal states].
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Biomedical subjects
Publications and source records attributed to I I Neĭmark.
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The results are examined of plasmapheresis use for preoperative preparation of 55 thyrotoxic patients. Myocardial function was studied by polycardiography and thyroid circulation by means of rheography. It was concluded that myocardial function and thyroid circulation return to normal under plasmapheresis effect.
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The authors analysed the data obtained in examination of 106 patients with carcinoma of the thyroid gland residing in the Mountaineous-Altai region endemic by goiter. A conclusion was drawn that in the great majority of the aforesaid patients an important etiological factor in the development of malignant tumour was nodular and diffuse-nodular goiter. In patients with carcinoma of the thyroid gland residing the mentioned region the blood iodine, cobalt, and copper content was much greater than in healthy persons. Iodine concentration in the tumour tissue of the thyroid gland was diminished, and of copper and cobalt--increased in comparison with such in healthy tissue. Blood iodine content in patients with carcinoma, and iodine in the tumour tissue of the thyroid gland was much less, and of copper and cobalt--increased in comparison with such in patients with endemic goiter. Deficiency of trace elements (iodine, copper, cobalt) in the surrounding environment of the endemic regions of the Mountaneous-Altai and the change of their content in the organism of patients with carcinoma of the thyroid gland permitted to refer this disease to geographical pathology.
Clinical picture, methods of diagnosis and treatment of 42 patients with retrosternal (23), "diving" (6), and mediastinal (13) strumas were studied. A conclusion was drawn that these goiters had no specific signs. In the absence of thyrotoxicosis the clinical picture is conditioned by the compression and displacement of the mediastinal organs, and in its presence symptoms characteristic of thyrotoxic goiter are added. The most important method of diagnosis of retrosternal and mediastinal goiters in considered to be polypositional roentgenotomography, pneumomediastinography, contrast examination of the esophagus, trachea, vessels, and, in a number of patients, radioiodinediagnosis. Surgical treatment of retrosternal and mediastinal goiters is recommended.
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