This article presents the results of surgical treatment of purulent corneal ulcers in 17 patients by the method of autoconjunctival plasty in combination with tarsorraphy. The article describes in detail the technique of the operation and its main advantages. The authors have shown the effectiveness of the proposed method, which is expressed in the fact that in ease of purulent corneal ulcers, the proposed method allows you to preserve the anatomical integrity of the eyeball and improve the patient's rehabilitation process after surgery.
In total, 70 children with affective-respiratory paroxysms aged from 1 to 42 months were examined as part of the target study. The studies were conducted in the consultative polyclinics at the clinic of the Tashkent Pediatric Medical Institute. The algorithm of examination of children included: general clinical, neurological, psychological and neurophysiological (EEG study of the brain) examination of children. It was revealed that the formation of ARP is associated with perinatal factors, as well assomatic diseases (functional disorders of the gastrointestinal tract, iron deficiency conditions and hypocalcemia).
Along with the increase in the number of new cases, there is a large percentage of echinococcosis relapses, the frequency of which, according to various authors, varies widely from 3.3 to 54%, due to the existing terminology confusion. Material and methods of research. In the period from 2005 to 2019, 53 patients with recurrent echinococcosis of the lungs were operated on in the surgical Department of the 1st Sammi clinic. Research result. Immediate complications after surgery were observed in 6 (11.3%) patients. Postoperative mortality was observed in 1 (1.9%) case. The cause of death was acute cardiovascular failure. Conclusions. Analysis of the morphological characteristics of echinococcal cysts of the lungs showed that recurrent echinococcosis was most often found in echinococcus veterinorum (50.9%), echinococcus hominis (37.7%), and in echinococcus acephalocystis, there were no relapses of the disease, and if there were (6 – 11.3%), we associate this with reinvasia of the parasite.
Cerebral injuries, complicated by subdural and intracerebral hematomas play the leading role in the structure of childhood injuries, they are the most frequently encountered injuries. The work presents a retrospective assessment of medical records of children aged 5 to 7 years who were admitted on an emergency basis with a clinic of traumatic brain injury. The paper presents the indicators of the main patterns of respiration and hemodynamics, the minimum alveolar concentration, which reflect the effectiveness of inhaled anesthesia during the operation.
The relevance of CVD (Cerebrovascular Diseases), in particular strokes, is due to the high prevalence, disability and mortality.
The degree of medical, social, psychological rehabilitation of patients after Ischemic Stroke depends on the regression of the clinical picture and cerebral disintegration.
Objectives of the study: detection of the entire spectrum of clinical manifestations from examined patients, corresponding to damage to the structures of the brain supplied by the vessels of the Vertebrobasilar basin, the relationship with regression of the primary focus and the subtype of Ischemic Stroke, and determination of the presence of a statistically significant dependence of clinical manifestations on COPD.
To achieve the goal and solve the set tasks, 126 patients, 60 men and 66 women were examined in the recovery period of stroke in the in the vertebro-basillar system, at the age of 50-80. The Blindemark scale was used to assess the neurological status. To assess neuropsychological status, the Montreal Cognitive Assessment Scale, the Hospital Anxiety and Depression Scale, the Rankin scale were used, as well as for objectification of MRI data and Dopplerography.
Results of the study: In patients with Ischemic Stroke in the vertebro-basillar system, paresis and paralysis prevailed in the structure of clinical manifestations, 68 patients had them, which is 54%, 43.7% of patients had dysarthria, coordination disorders were observed in 48.4% of patients, 26.2% had vertigo, 24.6% had sensory impairments and 5.6% had neglect.
In patients with Ischemic Stroke in the vertebro-basillar system, a correlation was found between the scores of Renkin scale. Various pathogenetic subtypes of ischemic stroke in vertebro-basillar system were analyzed. They have a significant correlation between NIHSS scores at the time of hospitalization and at the end of rehabilitation. In patients with AT Ischemic Stroke in the vertebro-basillar system the incidence of oculomotor disorders is significantly lower. Based on the above mentioned, the following conclusions can be drawn:
1. A certain localization of the focus of ischemic stroke in the vertebra-basilar system is more likely to be characteristic of the corresponding stroke subtype.
2. The rate of reduction and reorganization of the focus does not depend on the stroke subtype, localization of the hearth, comorbidphone, rehabilitation methods and is proportional to the initial size of the heart attack site.
3. The degree of severity of COPD has a correlation with the blood flow indices of posterior cerebral arteries and vertebral arteries, as well as the asymmetry coefficient.
In today’s world, where the borders of different countries are becoming easier to overcome, especially for professionals in the medical field, importance of English is significantly increasing. Globalization and accelerated exchange of information require knowledge of the language of international communication and, in particular, its special features and the use of terminology in the medical professions. Consequently, it becomes urgently necessary to acquire reading skills and a good understanding of the medical literature in the English language for progressing to the level required for communication with colleagues form the USA, the UK, Australia, Israel and other countries known for their significant achievements in the development of medicine. Why should a doctor know English? First of all, it may seem that the doctor’s knowledge of English is not the key aspect in professional growth. In fact, if you aim at the constant improvement of skills and want to work in a prestigious clinic, and even more so, to cooperate with your foreign colleagues, you must know English. Let’s see how the knowledge of English helps a doctor.
The monograph presents the main theoretical issues concerning ventral hernias and combined pathology of abdominal organs. The etiology, pathogenesis, clinic, diagnosis, treatment and methods of prevention in a large contingent of patients with ventral hernias and combined pathology of abdominal organs are covered in detail. The methods of preoperative preparation developed by the authors, comparative assessment of the level of stress hormones, technical aspects of surgical interventions in patients with ventral hernias and combined pathology of abdominal organs are highlighted. The analysis of the quality of life of patients was also carried out according to an improved score assessment of the quality of life of patients after simultaneous operations.
The monograph is intended for surgeons, clinical residents and students of medical institutes.
Orbital contusion trauma is characterized by particular severity, a high risk of blindness, the possibility of the development of purulent-inflammatory complications, and functional and cosmetic defects [1]. The multiple nature of traumatic injuries necessitates the use of accurate topical diagnosis and treatment planning. The study of traumatic lesions of the orbit is relevant.
To develop surgical tactics and to improve results of treatment of patients with a leakage in the next postoperative period after a holetsistektomiya. Material and methods of research. We analysed results of surgical treatment of 2247 patients who trans- ferred a holetsistektomiya in clinic of SamMI in the period of 2010 – 2014 year. In the early postoperative period it were marked out leakage at 52 (2,31%) the patient. For the purpose of identification of a leakage applied the following methods of research: Ultrasonography, KT, fi-stulografiya, ERPHG. Results. For an assessment of a postoperative leakage used the modified classification of L. Morgenstern (2006), for definition of damages of magistral bile ducts used E.I. Galperin's classification (2002). Consid-ered not only a daily output of bile on a drainage of an abdominal cavity, but also liquid congestion volume in projections of a bed of a gall bladder, and also availability of free liquid in an abdominal cavity according to ultrasonography. Conclusions. Leakage frequency after holetsistektomiya makes 0,74% (after THE – 2,44%, after LHE – 1,08%, after MHE – 2,47%). "Small" damages of bilious channels and 25,26% cases – damage of the main bilious channels were sources of a postoperative leakage in 54,72% of supervision. In 20,02% cases the source isn't established. Ultrasonography is an initial method of diagnostics of a postoperative leakage. At a leakage of 1 degree, lack of signs of irritation of a peritoneum and symptoms of intoxication it is necessary to adhere to tactics of active dynamic supervision. At a leakage of 2-3 degrees repeated intervention – a lapa-roscopy, a laparotomy is shown.
Изучить особенности реакции тучных клеток при общем анафилактическом и гистаминовом шоке.
Active diarrhea is the leading infectious disease. The article examines the clinical course of active diarrhea and identifies the etiological picture of the causative agents of the disease. For this purpose, clinical and laboratory studies revealed polyresistance strains of the pathogen in 84 patients with active diarrea; leading clinical signs have been identified with active diarrea; the state of intestinal microbiocenosis in patients active diarrhea with was studied.