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Biomedical subjects

Ia A Solomka

Publications and source records attributed to Ia A Solomka.

8 recordsLinked to original sources

[Descending rhythmic pneumocompression as a medical treatment of atherosclerosis obliterans].

About 2 percent of the population of the world suffers from atherosclerotic lesion of the lower extremity arteries. However, the treatment of this pathology is an unsolved problem so far. The authors used a method of rhythmic pneumocompression for medical treatment of patients with chronic arterial insufficiency due to lower extremity vascular atherosclerosis obliterans. A total of 56 patients with stages II-III atherosclerotic lesion were examined. The findings indicated that the method noticeably reduced the intensity of the pain syndrome and tissue ischemia. The procedure exerted a reflex action on the cardiovascular system: the patients had slower heart rate and lowered blood pressure.

Arteriosclerosis Obliterans↗

[Combined treatment of mechanical jaundice].

The causes of the development of hepatic insufficiency in patients with obstructive jaundice after nondosed surgical decompression of the biliary tract are analysed. The high efficacy of preoperative hemosorption in prevention of this complication was demonstrated in experiments on 120 animals. Similar results were obtained in the clinic in 60 patients. Five-day treatment with solutions of glucose, contrycal (gordox), and sodium thiosulfate improved the results of treatment of obstructive jaundice in 600 experimental jaundice, whereas aldactone, prednisolone, sodium oxybutyrate and methacine were poorly effective. In experiments with prolongation of the preoperative therapy to 8 days the mortality increased. Glucose, contrycal (gordox), sodium thiosulfate, sodium oxybutyrate, and aldactone given in the postoperative period increased the survival of the animals. It is suggested that the 4-5-day preoperative management of patients with obstructive jaundice should include contrycal (gordox), sodium thiosulfate, and hemosorption applied 24 hours before the operation. Aldactone and sodium oxybutyrate are recommended in addition after decompression of the biliary tract. Such treatment in 162 patients reduced postoperative mortality to 4.4% in comparison with the control group in which it was 16%.

Animals↗

[Tietze's syndrome].

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Diagnosis, Differential↗

[Urachal cysts].

The work analyses observation findings in three patients with urachal cysts. On admission, two of the patients had suppurating cysts simulating the picture of the acute abdomen, one of which presented the clinical signs of acute appendicitis so vividly as to require revision of the abdominal organs. The diagnostic errors that have been made are also analysed. A conclusion is derived by the authors on the expediency of an active surgical tactics in cases of suppurating urachal cysts. They suggest extensive cyst excision with application of continuous suture and drainage of the wound to be the operation of choice.

Abdomen, Acute↗

[The suppuration of surgical wounds].

An analysis of wound complications in 699 patients after operation has been made. Microbiological examinations of the wound exudate have shown that the content of "seromas" and "hematomas" is infected with aerobic and anaerobic nonsporulating microflora in 80% of the cases. "Seromas" and "hematomas" were proved to be typical cases of suppuration of operative wounds.

Abdomen↗

[Microbiological evaluation of the methods of preventing suppuration of surgical wounds].

Contamination of the operative wounds with aerobic and nonsporulating anaerobic microflora is known to take place in the process of operation. Lower degree of the contamination of the operative wounds by the end of operations results in lower incidence of suppurations. It can be achieved in pure and conventionally pure operations of a less traumatic character by the application of preoperative gentamycin electrophoresis onto the operation field, while in conventionally pure operations of great traumatism and contaminated operations--by active irrigating drainage.

Disinfection↗