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Biomedical subjects

Iu P Popov

Publications and source records attributed to Iu P Popov.

At least 19 recordsLinked to original sources

[Diagnosis and treatment of acute intestinal obstruction due to gall-stone].

Results of treatment of 43 patients with acute intestinal obstruction due to gall-stones are analyzed. Forty patients were operated, 3 patients were not because of extremely severe state. Enterolythotomy was performed in 27 cases, incision of intestinal wall was carried out directly above the stones (14 cases, group 1), above or below it (13 cases, group 2). Insufficiency of enteral suture was seen in 4 patients of group 1 that required repeated surgery. Lethality in group 1 was 21.4%, in group 2-7.1%. Intestinal resection was performed in 12 patients of group 3, there were no cases of suture insufficiency, and lethality was 8.3%. It is concluded that enterotomy should be performed above or below strangulated stone. Intestinal resection should be performed when concrement is immovable or in cases of intestinal necrosis.

Acute Disease↗

[Surgical strategy in oncologic diseases of organs of the pancreatobiliary zone complicated by mechanical jaundice].

In patients operated upon for oncological diseases of organs of the pancreatobiliary zone complicated by mechanical jaundice the lethality was decreased in a group of patients with purulent cholangitis and high biliary hypertension by means of using a two-stage method of operative treatment, use of the dosaged decompression of the bile ducts with a gradually increased diameter of the drain from 4 to 7-8 mm being most effective. A good effect of the application of complex antibacterial therapy was also noted when using a direct endolymphatic administration and intracholedochal perfusion of antibiotics. It allowed twice as quick to arrest the inflammatory process in the bile ducts, to normalize the biochemical indices of blood, and to prepare the patient for the main stage of operation.

Adult↗

[Diagnosis and treatment of gastrointestinal hemorrhage].

The article analyses the results of treatment of 4,430 patients with gastrointestinal bleeding in the last four decades. Two periods, from 1950 to 1969 and from 1970 to 1990, are compared from the standpoint of change of the disease structure, the methods of diagnosis and hemostasis. The number of hemorrhages of ulcer genesis reduced from 80 to 40.3%. Changes in the pattern of the disease is associated with improved diagnostic methods and recognition of pathological processes which were previously inaccessible to radiological examination, such as the Mallory-Weiss syndrome, acute ulcerations of the mucosa. The age composition remains relatively stable. Just like in the previous years, each third patient is over 6.0 years of age. Despite introduction of new methods of treatment, such as endoscopic arrest of bleeding, enteral feeding, a new method for management of penetrating ulcers and others, the mortality rate reduced only from 4.5% (1950-1969) to 3.4% (1970-1990). It is noted, however, that fatal outcomes in the last years prevail among patients aged 65-70 or older.

Age Factors↗

[Effect of atmospheric pollution on morbidity among the children of preschool age].

The studies carried out have shown, that long duration of living (not less than 3 years) in the district with a significant degree of ambient air pollution plays a role in the increase of morbidity of children. Actual level of pollution of ambient air in an industrial city corresponded to high and very high degree of pollution (integral index P for the annual period of averaging during the 5 years varied from 7.7 to 32.8), which played a role in the increase of the theoretically possible level of total morbidity of children with the allowable degree of complex atmospheric pollution (P = 3) 2 times fold and caused significant economic damage to the people's economy.

Age Factors↗

[Experimental bases of endoscopic correction of the secretory function of the stomach].

The article gives experimental data proving the usage of the method of bloodless reduction of gastric secretion through endoscope in case of peptic ulcer. Pricking around the secretory zones of the stomach with hypertonic glucose solution conducted on 35 mongrel dogs led to a stable reduction of acid producing function of the stomach. Morphological changes of the stomach mucous membrane were mainly expressed in the atrophy of glands. The analysis of the test results gives opportunity to recommend the clinical introduction of the method in complex treatment of peptic ulcer.

Animals↗

[Nosologic position of confabulatory-paraphrenic psychoses of old age].

Three groups of elderly patients were studied. The state of these patients was characterized by confabulatory-paraphrenic delusion which developed for the first in senility. The nozological character of the first two groups of patients did not cause any doubt about their close connection with senile dementia. The third group of patients varied only by the presence of the confabulatory-paraphrenic delusion without any signs of endogenous or senile-atrophic processes. The comparative study of the psychopathological traits of confabulatory-paraphrenic delusion in all patients showed that in all three groups there was a similarity of this symptomatology. Besides, the type of personality traits and hereditary loading in all three groups of patients appeared to be similar. It is suggested that nosologically studied group of psychoses in old age developing only with confabulatory-paraphrenic delusion without endogenous or organic dementia first appearing in seniscence should be referred to be senile dementia.

Age Factors↗

[Role of phlebography in surgery of recurrent varicose veins of the lower limbs].

It is believed by the investigators of recurrent venous varicosity of lower limbs that phlebography aids to detect errors of the performed operative procedure and to reveal what caused the recurrence. The authors' experience comprise 48 distal, ascending, vertical phlebographies, and 47 pelvic and retrograde femoral ones in 60 patients, both explorations being utilized for 28 lower limbs. Distal phlebography in 44 of 48 examined patients indicated insufficiency of perforated veins that caused the recurrent crural varices. It is considered that in surgical therapy for venous varicosity a due consideration should be given for both a liquidation of recognized errors of the preceding surgery and a correction of pathological changes in deep veins of the lower extremities.

Adolescent↗