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Biomedical subjects

Iu D Prokopenko

Publications and source records attributed to Iu D Prokopenko.

At least 19 recordsLinked to original sources

[Chronic duodenal obstruction in children].

Chronic duodenal obstruction was observed in 18 children aged from 2 months to 14 years. The disease was caused by different malformations of the intestine. In children younger than 7 years of age the main clinical manifestation of the disease was the syndrome of vomiting. Older children were admitted for examination for the chronic abdominal pain syndrome. Roentgen-contrast methods of examination of the stomach and duodenum were of decisive significance. All the children were operated upon. The operative method was chosen according to the intestinal malformation.

Adolescent↗

[Extracorporal and endogenous detoxication in appendicular peritonitis in children].

The article deals with the method for detoxification of patients with diffuse and generalized peritonitis. Exogenous detoxification was accomplished by the open method for peritonitis management (laparotomy), endogenous detoxification was achieved by well-founded intraperitoneal and intravenous administration of proteolysis inhibitors. Comparison of the two groups of patients who were operated on showed marked reduction of mortality from 22.2% to 2.7% in generalized peritonitis and from 9.6% to zero in diffuse peritonitis.

Appendicitis↗

[Surgical treatment of myasthenia gravis in children].

The article deals with the treatment of myasthenia in 33 children whose ages ranged from 3 to 15 years. Myasthenia of moderate severity was diagnosed in 14, severe in 15, and extremely severe in 2 children. To make a precise diagnosis, loading, neostigmine methylsulfate, cold, and D-tubocurarine tests were conducted. Thymectomy was performed in 32 patients. The operation was carried out through a T-shaped sternotomy approach. Thymogenic myasthenia was verified in 31 patients and thymomogenic only in one patient. There were no fatal outcomes. The late-term results were studied in 12 patients in follow-up periods of 3 to 6 years. Adaptational activity of the patients, anticholinesterase agents and the results of stimulant electric myography served as the criterion in appraising the late-term results. Modern diagnostic methods and surgical intervention ensure a favourable result in 75% of patients.

Adolescent↗

[Secondary omentitis in children following appendectomy].

The data on treatment of 18 children with secondary omentitis, which developed after appendectomy, are presented. A complication can manifest itself as an abscess of the omentum and as its infiltration, differing in clinical picture and the findings of electromyography. On the basis of the analysis of 463 appendectomies, at the time of which the changes in the omentum were revealed, the association of the form of appendicitis and secondary omentitis is shown. The necessity for resection of the omentum in periappendicular abscess and general peritonitis is noted.

Appendectomy↗

[Complex evaluation of general, local and intraosseous temperature in the early diagnosis of acute hematogenic osteomyelitis in children].

Materials are presented on the significance of complex studying the general, local and intraosseous temperature in early diagnostics of acute hematogenic osteomyelitis in 80 children. A correlative relationship has been established between the elevation of all kinds of temperature and degree of the pathological process as well as parameters of the intraosseous pressure. A conclusion is made of necessary measurements of temperature parameters in diagnostics of acute hematogenic osteomyelitis.

Acute Disease↗

[Differential diagnosis of acute appendicitis and acute viral hepatitis in children].

On the basis of observation of 60 patients in the prodromic period of acute virus hepatitis admitted with symptoms of acute appendicitis the authors discuss problems of differential diagnosis of these diseases. One out of 6 operated patients proved to have phlegmonous appendicitis. The surgical intervention (appendicectomy) did not influence the severity of the disease, terms of the treatment and outcomes of acute virus hepatitis.

Acute Disease↗