[Use of hyperbaric oxygenation for prophylaxis of surgical wound infections in patients with acquired heart diseases].
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Biomedical subjects
Publications and source records attributed to Iu L Shevchenko.
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Under analysis was an experience with closed mitral commissurotomies (CMCT) in 865 patients. Among them 285 patients had mitral stenosis complicated by calcinosis, thrombosis of the left auricle, mitral insufficiency of the I-II degree or by a previously done commissurotomy. CMCT was shown to be possible and sometimes even necessary in spite of the presence of aggravating factors.
The paper presents the analysis of calcinosis frequency and expressivity of calcinosis revealed during surgical treatment of 598 patients with acquired heart defect. In operative interventions under EKG conditions calcinosis was observed in 25% cases, and in performance of closed mitral commissurotomy in 36.7%. Retrospective analysis of special features of the illness course in 346 patients with rheumatic mitral defect accompanied by predominant stenosis in dependence on presence and degree of stenosis expessivity. The role of calcinous conglomerates as chronic intracardiac infection reservoirs is noted.
The literature data are analyzed concerned with the correction of disturbances of the myocardium contraction function by a transplantation of the donor's heart, implantation of an artificial heart and cardiomyoplasty. The implantation of cardiomyocytes is considered to be a promising method.
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As effective gas-transporting substances, organoperfluorine compounds are characterized by hemoprotective properties. Pretreatment with fluorocarbon helps level the direct unfavorable effect of oxygen on the blood upon its contact oxygenation, which was confirmed by the results of studying red cell structure and function.
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