Biomedical subjects
Publications and source records attributed to Iu M Svitich.
An analysis of results of studying skin electrothermometry in 112 patients and determining the leukocyte index of intoxication in 86 patients has shown that these examinations allow differentiating the forms of acute cholecystitis (destructive and nondestructive) and timely recognizing the developing purulent complications in the postoperative period.
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The leukocyte intoxication index (LII) was examined in 292 patients with acute abscesses, pulmonary gangrenes and pneumonias. The more extended and severe the process, the higher were the LII parameters. It was the highest in patients with pulmonary gangrene, the lowest with focal pneumonia. The index is considered to represent the dynamics of the process allowing to timely diagnose the development of the disease and its complications. A simple formula of LII is proposed which makes its application easier.
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The clinical picture of acute cholecystitis was analyzed in 221 patients. The authors have studied symptoms of the disease in patients older than 60 such as rapid beginning of the disease, early signs of intoxication and peritonitis. They all made the diagnostics difficult. Urgent operations should be recommended in elderly and senile patients more often due to greater probability of destructive forms of cholecystitis in such patients.
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The article describes the results of a laparoscopic transparietal puncture of the gall-bladder used for diagnosis and treatment of acute cholecystitis in 31 patients older than 60. The acute inflammatory process was found to subside due to the procedure in 30 patients, 26 of them were operated upon in the cold stage of the disease. The authors recommend a wider use of the method of urgent laparoscopy for diagnosis and treatment of acute cholecystitis in elderly and senile patients.