[A rare complication of intralobar pulmonary sequestration].
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Biomedical subjects
Publications and source records attributed to K G Tabatadze.
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The authors examined 52 patients with gunshot wounds of various localization. Besides the type of wound healing, they determined the ABO system blood groups, the value of phagocytosis intensity and the value of connective tissue saturation with ascorbic acid, which, as it was shown earlier, are unrelated to the current condition of the wound process and may serve for predicting the risk of wound purulent complications. The distribution features of the studied values in patients with gunshot wounds were compared with those in individuals with gunshot-inflicted wounds. It is shown that such signs of constitutional immunity as the B blood group, weak phagocytosis intensity, and low saturation of the connective tissue with ascorbic acid are risk factors of purulent complications in both traumatic and gunshot wounds.
The authors studied the influence of constitutionally conditioned peculiarities of reactivity of an organism on the differences in the wound healing in 226 surgical patients with the extensive wounds and in 274 healthy subjects from the aboriginal population of Siberia, Middle Asia and Transcaucasian region.
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Analysis of 11 cases with injury to the duodenum showed that the presence of a hematoma, gelatinous pulmonary edema, and yellowish-green fatty tissue around the duodenum are evidence of the possible damage of its retroperitoneal part. Closure of the duodenal defect with double-row silk sutures and their peritonization with a free area of the parietal peritoneum is advisable. In retroperitoneal rupture of the duodenum the operation must be completed by drainage of the retroperitoneal space and decompression of the beginning of the small intestine with a nasogastric catheter. The possible complications are described. The Postoperative mortality was 36.3%.
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