[Mathematical aspects of the differential diagnosis in round pulmonary formations].
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Biomedical subjects
Publications and source records attributed to L A Frankfurt.
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The case records of 389 patients with ulcer disease were analyzed. The disease course was complicated by the profuse ulcer bleeding in 166 observations. There were no data available concerning hemorrhage in the anamnesis of 229 patients. As a result of statistical discriminant analysis of the bleeding and nonbleeding ulcers clinical picture peculiarities been made, 15 prognostically significant signs were chosen, they were quantitatively assessed and the risk of profuse bleeding appearance was determined. The results were confirmed in the 95% of observations.
The authors show the results of experimental and clinical study of a single-row Pirogov-Mateshuk serous-muscular-subserous suture with the knots inside the lumen. It was demonstrated in experiments on 191 dogs that regeneration in the zone of anastomoses formed by a single-row suture is more perfect and occurs earlier than with the application of a double-row suture. Among 2,623 anastomoses formed on the esophagus, stomach, small intestine, colon, and rectum by means of a single-row suture, 1.5% were incompetent. The authors consider the single-row Pirogov-Mateshuk suture to be the method of choice.
The authors generalize their experience in the treatment of 528 patients with ulcerous pyloroduodenal stenosis, who accounted for 19.3% of all patients who were operated on and for 29.8% of those with complicated forms of peptic ulcer. All the patients underwent operation after brief (2-3 days) replacement of hydrogen ion deficiencies. Resection of the stomach was carried out in 418 patients, organ-preserving operations-in 102, gastroenteroanastomosis-in 8 patients. Total mortality was 2.5%. There were no fatal outcomes in organ-preserving operations. The incidence of postoperative gastric atony was 6.1% after organ-preserving operations and 4.9% after resection of the stomach.
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Operations were fulfilled in 420 patients with acute cholecystitis, 132 of them having obstructive jaundice. Only two patients were operated urgently due to peritonitis. In the other 130 patients forced diuresis and rational antiinflammatory therapy with antibiotics were used resulting in subsiding acute phenomena and liquidation of jaundice. It created the conditions for valuable examination of the patients and for performing operations under favourable conditions with respect to the cold period. The postoperative lethality in the cold period was 3.1%.
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