[The anniversary of the Moscow district military hospital].
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Biomedical subjects
Publications and source records attributed to V I Kononenko.
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A 13-year-old girl with a clinical picture of severe peritonitis was subjected to emergency operation upon 18 h since the symptoms onset. Laparotomy which detected a 360 degree torsion of the spleen with necrosis and perforation in the fundus of the stomach was followed by splenectomy and suture of the perforation. The patient's death occurred 17 h after the surgical treatment in progressive cardiovascular, renal and hepatic insufficiency and associated DIC syndrome. Specific blood supply to the organs is considered the underlying cause of gastric necrosis in relevant case of splenic torsion.
Long-term results of treatment of colorectal cancer versus levels of 17-ketosteroids, 17-ketogenic steroids, adrenaline and norepinephrine in diurnal urine were evaluated in 116 patients. Normal or slightly elevated urine-corticosteroid and catecholamine levels were shown to correlate with good prognosis, particularly, in cases with normal excretion of all (or almost all) hormones studied and their normal ratios.
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