[Foreign body in the common bile duct].
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Biomedical subjects
Publications and source records attributed to M I Mavrin.
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An analysis of surgical treatment of 152 patients withnecrotizing pancreatitis has been made. Lethality after resection of the pancreas made up 29%, after palliative operations-49%. A removal of the greater part of the necrotized gland and Wirsung's duct surgery against the background of intensive conservative therapy was found to prevent the development of complications, to improve ++cardio-hemodynamics and outcomes of the disease.
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An analysis of results of the surgical treatment of 105 patients with acute cholecystopancreatitis has shown that abdominal peritonealization and resection of the necrotized part of the pancreas in combination with radical operations on bile ducts are the most substantiated operations in pancreonecrosis.
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When the speed of filtration and plasma circulation are constant, the absolute sodium reabsorption is increased in kidney on the side of stimulation of nervous fibers. The stimulating effect of adrenergic nerves on the tubular transport of sodium and potassium is inhibited with guanethidin. The maximum transport of glucose is increased by the activity of cholinergic fibers of vagus nerves.
The inhibitory action of the adrenergic fibers of the splanchnic nerve on the speed of diuresis, filtration, maximum secretion, potassium excretion in the kidney disappeared at the side of the stimulation and blood flow in both kidneys in dogs given high reserpine doses. The animals developed hyponatriemia, hyperkaliemia and oliguria.
Glomerular filtration in the kidney decreases at side of the splanchnic nerve stimulation; as to the maximal glucose reabsorption -- it remains unchanged. After demedullation of the adrenal glands stimulation of the splanchnic nerve increases the filtration in the contralateral kidney, without altering the maximal glucose transport. Adrenergic fibers of the splanchnic nerve produce no direct action on the maximal glucose transport in the kidneys.
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