[A diagnostic error in identifying acute pancreatitis in an obese female patient].
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Biomedical subjects
Publications and source records attributed to S D Khimich.
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It has been found from the study of cholangiograms and laboratory specimens of biliary systems of human beings and dog's that the decrease in average diameters of biliary ducts during their passage from the hepatic portals to the periphery, is in accordance with the equation D = e-kz+b (z--sequence no of the duct, D--diameter of the duct, k--rate of change in the diameter, b--logarithm of diameter when z = 0). It has been established that parameter (b) defines size of the liver, and parameter (k) does not depend upon hepatic dimensions and changes during pathological processes. The use of (k) is recommended as an aid in defining the general character of dynamics of the duration of a given pathology.
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The expediency to use for assessment of the severity of organism intoxication a pulse-leukocytic-temperature index of intoxication, which takes into account the leukocytic index of intoxication, body temperature, pulse, is showa.
The results of treatment of 595 patients with acute gastro-intestinal bleeding are presented. Ulcer disease is the most frequent cause of bleeding. In its diagnosis, the use of gastroduodeno-fibroscopy is effective. In ineffective conservative therapy, the operative intervention is indicated.
The authors observed 139 patients with severe closed abdominal trauma. Diagnosis of the injuries mentioned is often difficult. Performance of laparoscopy permits to establish correct diagnosis. Severity of the state is conditioned by extensive character of injury to the viscera, presence of traumatic shock and internal hemorrhage. Lethality in closed abdominal trauma is 3.6%.
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