[The use of the blood serum refraction index in the diagnosis of acute pancreatitis].
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Biomedical subjects
Publications and source records attributed to V M Lisienko.
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The hemostasis system was investigated in 95 patients with edema of the pancreas (71) and pancreatonecrosis (24). The alterations found speak of the state of hypercoagulation and activation of aggregation properties of the blood in 74 % of patients with edema of the pancreas and in 80 % of patients with pancreatonecrosis. The data obtained enabled the authors to perform the pathogenetic treatment in 63,1 % of patients by means of anticoagulants of the direct and indirect action in combination with the desaggregative therapy activating fibrinolysis. The treatment was carried on in combination with the generally used methods of surgery and therapy. During the period under consideration there were no lethal outcomes in the group of patients subjected to conservative treatment. The postoperative lethality in pancreatonecrosis decreased from 31,8 % to 27,2 %.
Under analysis were 235 repeated operations upon the external bile-excretory ducts, fulfilled in 218 patients. The main indications for repeated operations on the biliary ducts were choledocholithiasis, stenosis of Vater's papilla, stricture of biliary ducts, pancreatitis, external biliary fistula. The pathological conditions were most frequently observed in combinations. During repeated interventions choledochotomy and revision of the biliary ducts were made in 182 patients. Biliodigestive anastomosis was performed in 97 patients, in 54 patients choledochotomy was completed by external drainage of ductus choledochus, in 31 patients the common biliary duct was sutured tightly in combination with the creation of drainage into the stump of the biliary duct after Halsted. Lethality after repeated operations was 3.6%. The remote results were good in 110 patients (80.8%), satisfactory in 23 (16,9%), bad results were in 3 (2,2%) patients.
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It was established that localized exposure of an inflammatory focus to laser radiation causes, besides the well-known effect on biochemical activity, structural photophysical reorganization of the liquid crystalline complexes not only in the irradiated tissues but also in parts of the organism situated at a distance from the exposed area.
Rabbit tissue fluid at different stages of wound healing was studied. Interaction between the formation of liquid crystalline fractions and the course of healing was revealed both under natural conditions and under periodic laser irradiation of the wound.