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Biomedical subjects

V G Kharchenko

Publications and source records attributed to V G Kharchenko.

At least 19 recordsLinked to original sources
PubMed1994

[Use of thermovision examination in hand burns].

With the use of thermovision set TVT-01 "Raduga" 17 healthy persons (control group) and 40 injured persons with the burn of various degree of severity were examined. In superficial I-II degree burn on the hand the temperature within the centre of injury exceeds normal level by 1.6-2 degrees C, and III A degree--by 2.2-2.6 degrees C. The healing of the burn wound was followed by gradual fall of her temperature, although she normalizes after epithelialization completion. In III B degree burn on the hand the temperature within the centre of injury decreases by 1.6-2.0 degrees C in comparison with the normal level. Autodermoplasty is effective only in the presence of temperature gradient between transplant zone and healthy tissues no more than 1.5 degrees C.

Adolescent↗
PubMed1993

[Surgical treatment of open and closed injuries of the duodenum].

The article discusses a complex of methods for the diagnosis of injuries to the duodenum in 18 patients. Laboratory and X-ray findings and laparocentesis with introduction of a "feeling" catheter into the abdominal cavity with lavage of the cavity facilitated the discovery of blood and intestinal contents and allowed the correct diagnosis to be established before the operation. In inspection of the duodenum mobilization after Kocher is insufficient, in rupture of the posterior wall in the region of the inferior horizontal part the duodenum must be mobilized for its whole length. It is advisable that the defect in the duodenum is closed with a double-row suture applied with an atraumatic needle (the first inner row of interrupted sutures). The methods for applying hemostatic sutures suggested by the authors by means of created devices provide reliable hemostasis in combined injuries to the parenchymatous organs. The operation was completed by leaving glove-tube drains. The postoperative mortality was 16.6%.

Adult↗
PubMed1991

[The hepatic and peripheral blood flows during the drug treatment of acute cholecystitis].

The effect of medical treatment on the peripheral mechanism of centralization of circulation and state of hepatic blood flow was studied. It is shown that inclusion of adrenoblocking agents in the complex of medical treatment of 98 patients with uncomplicated cholecystitis resulted on the second day in normalization of the renal blood flow, improved the condition of patients due to normalization of the reaction of centralization of the circulation.

Acute Disease↗
PubMed1990

[Disorders and correction of lung functions in acute destructive cholecystitis].

On the day of operation for acute destructive cholecystitis functions of external ventilation prove to be disturbed due to deterioration of pulmonary blood flow (2-6 times) and ventilation (1.3-3 times). The degree of these disturbances are in direct dependence on the degree of the inflammatory process in gallbladder and time of preoperative observation. At the same terms after emergency cholecystectomy the lung functions were reestablished considerably quicker and was more valuable than after operations on urgent indications. Inclusion of adrenoblocking agents into conservative treatment of acute cholecystitis before and after operation facilitates more effective and quicker recovery of lung functions.

Acute Disease↗
PubMed1990

[The state of general and regional hemodynamics in burn disease].

State of general and regional hemodynamics directly depends on the severity of the burn disease and on adequacy of the treatment performed. In conventional treatment of the burn disease, blood flow in the lungs and liver at all the periods of observation is reduced 3-1.5-fold. At a day of patients' discharge from the hospital, the blood flow in the liver is reduced 1.6-fold as compared with the norm, in a lung--3.1-fold.

Burns↗
PubMed1989

[Use of adrenergic blockaders for correction of pulmonary functions in the treatment of acute cholecystitis].

The assessment of external respiration during a 2-day management of acute pain attack produced by cholecystitis disclosed a 1.2-1.5-fold decrease in the parameters of the function resultant from poor ventilation of the pulmonary zones and loss of coordination between the ventilation and relevant blood flow. On day 3 of the attack treatment of external respiration returned to normal functioning though in patients over 60 this return took a week, as they had a 1.2-2-fold drop in the blood flow and pulmonary ventilation. The attempts of administration of adrenoblockers in combined treatment of acute cholecystitis succeeded in restoration of pulmonary function during 3 days and in more rapid attenuation of attacks in acute cholecystitis.

Acute Disease↗
PubMed1989

[The role of a sympathetic pharmacologic blockade in restoring blood flow to the organ in acute cholecystitis].

By means of a method of rheography, in 74 patients with acute cholecystitis before and after the operation, and in 26 healthy subjects as well, the blood flow of the brain, lungs, liver and lower extremities under conditions of the use of benzohexamethonium, obsidan, aminazine and neostigmine methylsulfate was studied. Resulting from the use of sympathetic pharmacologic blockade, already by day 2, the indices of cerebral, pulmonary and hepatic blood flow normalized or exceeded the normal level.

Acute Disease↗
PubMed1989

[Surgical treatment of intestinal injuries].

The results of treatment of 235 sufferers with open (142) and closed (93) intestinal injuries are analysed. One hundred and twenty one patients had isolated, 114-combined intestinal injuries. Suturing of the small, large intestine and other hollow organs was performed in 192 sufferers, resection of the small intestine-in 28, resection of the large intestine-in 5, resection of the large intestine with unloading cecostomy-in 4, right hemicolectomy-in 3, colostomy-in 3. Twenty eight patients developed complications after the operation, 14 (6.4%) died.

Adult↗