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L V Kuratev

Publications and source records attributed to L V Kuratev.

21 records · Page 2Linked to original sources

[Familial forms of chromaffinomas].

The familial chromaffinoma forms were seen in 13 members of 4 families. Eight of these patients (6 females and 2 males), aged 15 to 43 years old, were operated for disseminated bilateral chromaffinomas. Seven patients had malignant tumors. In 3 families there were patients with Sipple's syndrome. Extensive laparatomy is rather preferential by surgeons. In view of the autosomal-dominant form of the disease transmission it is necessary to investigate thoroughly the familial history and to examine purposefully the children and relatives of patients with chromaffinomas, especially, with Sipple's syndrome.

Adolescent↗

[Dynamics of changes in the indicators of electrolyte metabolism after surgical treatment of Cushing's syndrome].

The authors present the results of study of the state of the water-electrolyte metabolism at the early postoperative period in 58 patients suffering from Itsenko-Cushing's disease with consideration of the potassium deficiency correction. Potassium and sodium level was studied in the plasma and the erythrocytes. Besides, in 31 patients potassium and sodium content were examined in the muscular tissue obtained during the operation. Hypoglycemia was revealed in 48.2% of the cases, and hypernatriemia--in 19.0%. A reduction of potassium level in the erythrocytes was revealed in 50%, and a rise of sodium--in 52% of cases. The muscle tissue potassium level fell in parallel to the reduction of this electrolyte level in the erythrocytes. Disturbances of the electrolyte balance proved to be most pronounced at the early postoperative period in the patients given no potassium preparations. Separate use of potassium preparations, or (particularly) together with veroshpiron, prevented potassium deficiency at the early postoperative period.

Adolescent↗

[Dynamics of EKG changes in patients with Itsenko-Cushing disease before surgery, and following the 1st and 2d stages of adrenalectomy].

The results of examination of ECG in 44 patients suffering from Itsenko-Cushing's disease at different stages of surgical treatment are presented. The data obtained were compared with the blood potassium and sodium levels, 17-KS, and 17-OCS levels in the urine, arterial pressure and cholesterol content. Various ECG changes before the operation were revealed in 39 patients. Signs of enlargement of the left ventricle and deformity of the end part of the ventricular complex (negative T wave and or reduction of S-T segment in I, II, avL V5-6 leads) were found in 8 patients, and deformity of the end part of the ventricular complex without any signs of enlargement of the left ventricle--in 18 patients. There proved to be a significant dependence of the changes in the end port of the ventricular complex on increased urinary excretion of 17-OCS, hypokaliemia and hypernatriemia. Negative ECG changes after bilateral total adrenalectomy was significantly connected with postoperative hypocorticism.

17-Hydroxycorticosteroids↗