[Ligation and roentgeno-endovascular occlusion of internal iliac arteries in pelvic injuries].
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Biomedical subjects
Publications and source records attributed to Iu B Shapot.
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Based on the experience with treatment of 26 patients the authors recommend to use mainly conservative treatment with the intrapleural administration of fibrinolytic drugs. The method was used in 20 patients. All of them recovered.
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Complications were noted in 83% of patients with an associated trauma of the chest. Bilateral pneumonia was the most frequent complication (57.7%), then were traumatic pulmonitis (15.9%) and total pulmonary edema (18%). The adequate anesthesia, liquidation of a disturbance of the chest carcass, timely elimination of hemo- and pneumothorax are thought to be the most effective measures of struggle against pulmonary complications in patients in the early period of the trauma disease. The complex treatment has given 1.5 times less amount of pulmonary complications.
Prolonged regional anesthesia used for relieving pain was given to 65 patients with closed traumas of the chest complicated by fractures of the ribs. The method was shown to be effective, simple and safe. It may be used both at the hospital and at prehospital stage. The prolonged regional anesthesia allowed reducing the amount of pulmonary complications from 4.5% to 1.7%.
The authors have analyzed 110 patients and describe most frequent errors in diagnosis and treatment. They are: not complete examination of the victims, non-radical primary surgical treatment of the wounds, irrational and late drainage of the pleural cavity in hemothorax and pneumothorax.
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Analysis of the work of surgical-reanimation teams of the Accident Station and the City Shock Center has shown that their joint activity can provide modern level of giving help to patients with traumatic shock. In organization of work of the City Shock Center of great importance is the distribution of duties among the team members.
The authors analyze their experience with the treatment of 64 patients with injured urinary bladders in associated traumas. In diagnosis of this pathology great significance is attached to contrast vesicography. Suturing the urinary bladder should be finished by epicystostomy.
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