PubMed Health⌕ Search

Biomedical subjects

M I Kuzin

Publications and source records attributed to M I Kuzin.

At least 19 recordsLinked to original sources
PubMed1991

[Magnetic resonance tomography in the diagnosis of surgical diseases].

The authors analyse the first experience in the use of magnetic resonance tomography (MP-tomography) in the diagnosis of some surgical diseases. MR-tomography of the mammary gland (257 patients), thymus (55 patients), adrenals (41 patients), and hypophysis (18 patients) was conducted. The results of the examination were compared with the findings of other diagnostic methods and verified intraoperatively and histologically. The authors claim that the high informativeness of MR-tomography, its noninvasiveness, the absence of a radiation load, and the possibility of repeating the examination many times in three mutually-perpendicular planes distinguish the method favorably and dictate the necessity of its further study in clinical medicine.

Adrenal Gland Diseases↗
PubMed1991

[Characteristics of surgeon's work with HIV-infected patients].

AIDS incidence is sharply growing in all countries. Doctors specialists in all fields of medicine may come in contact in the process of treatment with HIV carriers or patients suffering from AIDS, when the clinical picture is vividly manifested. The most frequently encountered HIV-dependent complex of symptoms includes persisting fever, lymphadenopathy, weight loss, diarrhoea. Blood test for HIV antibodies confirms the diagnosis. Treatment of surgical diseases in HIV-infected patients is justified in the latent period of the syndrome. In a marked clinical picture of AIDS and the presence of an opportunistic infection the patient survives no longer than 18 months. It is advisable in such cases, in the interest of the patient and the surgeon, to refrain from undertaking a planned operation because its mortality is very high. Only emergency interventions are indicated. During contact with a HIV-infected patient the medical staff must follow strictly the rules of hospital hygiene and antisepsis . The work must be carried out in gloves, protective glasses, and masks, and injure of the hands with sharp instruments must be avoided. The personnel must be trained and educated in working with HIV-infected patients.

Acquired Immunodeficiency Syndrome↗
PubMed1991

[Economic effectiveness of conservative and surgical methods of treatment of duodenal ulcer in young patients].

The work evaluates the results of treatment of duodenal ulcer in 152 young patients. The state's financial losses connected with their treatment by various methods are counted up. Prolonged nonoperative treatment was applied in 52 patients (group I), organ-preserving operations were carried out in 100 patients (group II). Group I patients felt much worse, most of them suffered from annual recurrences of the disease, 21% underwent various operative interventions later due to the development of complications. Good and excellent results were recorded in 86% of group II patients. It was established that not only are the clinical results better in group II patients, but the economical losses in timely performance of organ-preserving operations are half those in prolonged nonoperative therapy.

Adult↗
PubMed1990

[Splenectomy in the treatment of severe forms of myasthenia gravis].

The authors describe the results of clinical and electromyography examinations of 20 patients with grave generalized myasthenia, carried out within the short-term (up to 2 weeks) and long-term period (up to 1 year) after splenectomy. In these patients, the preceding therapy (thymectomy, gamma-therapy of the thymic area, the treatment with prednisolone, azathioprine, plasmapheresis, etc) had not produced any beneficial effect. The efficacy of splenectomy was assessed according to the Keens classification (A-E). In the short-term period after splenectomy the C effect was recorded in 13 out of the 20 patients. Out of 9 patients examined in the long-term period, the B effect was revealed in 3 patients, the C effect persisted in 3 patients, and 3 patients manifested the return to the initial status, namely to the E effect. Therefore in the group of patients with grave generalized myasthenia, the efficacy of splenectomy amounted to 65%. In view of this fact the inclusion of the given treatment method into the multimodality treatment of myasthenic patients is regarded advisable.

Adult↗
PubMed1990

[Splenectomy in the treatment of severe generalized myasthenia gravis (first experience)].

The authors discuss the results of splenectomy carried out on 20 patients with generalized myasthenia in whom previous complex treatment including thymectomy, corticosteroid and azathioprine therapy, repeated courses of plasmapheresis during medication with anticholinesterase agents, did not cause any essential improvement. Different values of homeostasis and immunological status were studied before and in different periods after splenectomy. The condition improved in 65% of patients, which was confirmed by the results of myography; the doses of corticosteroids and anticholinesterase agents were reduced. Bearing in mind the severe condition of patients selected for splenectomy, it is recommended to treat them only in medical centers possessing sufficient experience in treatment of myasthenia. The indications and contraindications for splenectomy in complex treatment of myasthenia must be specified further.

Adrenal Cortex Hormones↗
PubMed1990

[Intraoperative cholangiography].

The diagnostic value of intraoperative cholangiography (IV) is shown on the basis of analysis of data in the literature and material of two surgical clinics. Statistically significant criteria of the risk of cholangiolithiasis in patients with calculous cholecystitis are identified, which are indications for IC. It is shown that in substantiated rejection of IC the possibility of a diagnostic error is minimal. In tentative diagnosis of cholangiolithiasis in the case, and, consequently, in the choice of the required diagnostic manipulations and methods one should proceed from the principle of reasonable adequacy in a specific case.

Cholangiography↗
PubMed1990

[A new method of general anesthesia in pulmonary surgery using dalargin instead of narcotic analgesics].

Intraoperative and early postoperative parameters of the central hemodynamics, oxygen transport function and acid-base status of the blood, and blood lactic and pyruvic acid levels in patients under general anesthesia with dalargin were compared to those under traditional neuroleptic analgesia. The comparative evaluation allowed for a conclusion that general anaesthesia with dalargin provides for a reliable anesthesiological defence and exerts a lower deteriorating effect on the vessels of pulmonary circulation than traditional neuroleptic analgesia.

Adult↗
PubMed1989

[Algimaf treatment of burns].

Application of algimaf, a new polymeric dressing, in local therapy of burn wounds is conducive to spontaneous epithelization of surface burns and favors effective autodermoplasty in thermal burns. Cytologic studies of the wound discharge and examination of the burn wound microflora qualitative and quantitative composition indicate a high therapeutic efficacy of the dressing.

Anti-Infective Agents, Local↗
PubMed1989

[Lymphography in clinical variants of posttraumatic edema].

Early experience with lymphography, used in 28 patients with edema of the legs, descending from the site of injury (13) or ascending to the damaged area (15), is summarized. Purposive identification of the location of lymph reflux to abducting lymphatic vessels of the skin and subcutaneous fat helped to detect anatomic zones of lymph stasis, identify the cause and site of origin of the edema and exclude impaired lymph passage through neighbouring lymphatic vessels and collectors. Local or generalized disorders of lymph flow were shown to be at different distances from the damaged lymphatic vessels. The emergence of different clinical variants of descending and ascending edema is caused by the movement of the lymph reflux area from the original site of edema.

Edema↗