Mechanical ventilation might be a day to day existence saving clinical consideration used in kids in PICU. These basically wiped out kids are in some cases broadly examined in PICU. Chest actinism is partner degree indispensable examination in these patients before ventilation.We concentrated on the effect of starting chest actinism on a definitive result of broadcasted kids.Retrospective. Setting: Tertiary consideration showing hospital.One hundred and 41 children were encased inside the review. Beginning chest actinism of the relative multitude of broadcasted kids was assessed and result of those children was correspond with the underlying actinism at confirmation.
To date, many methods of surgical treatment of funnel chest deformity have been proposed, but they all have one pronounced and significant drawback - very high trauma. Despite the fact that the first operation for funnel chest deformity was performed more than 100 years ago, the problem of treating this disease cannot be considered completely solved. This is indicated by the fact that more than a hundred methods and modifications of surgical intervention are used to correct the funnel-shaped deformity of the chest in children.
Funnel chest deformity (PEH), one of the most common developmental anomalies in children, is a congenital pathology characterized by recession into the sternum and cartilaginous part of the ribs with the formation of a funnel-shaped depression on the anterior surface of the chest. A funnel chest can lead to serious disorders of the cardiovascular and respiratory systems. The narrowing of the chest cavity along the midline and the horizontal arrangement of the ribs, in addition to the created cosmetic defect, determine the development of restrictive respiratory disorders, which acquire clinical manifestations with age that threaten the quality of life. Any variant of thoracoplasty is a traumatic operation and requires adequate anesthesia during the operation.
При травмах грудной клетки различют сотресение,ушиб и сдавление грудной клетки;одновременно наблюдаться закрытые разрывы легких и бронхов, повреждения сердца и крупных кровеносных сосудов. Своёвременное доврачебная помощь и доставка пострадавщих в стационар имеет большое практическое значение для спасения жизни больного.
In spite of the fact that the first operation for funneled deformation of a thorax is executed more than 100 years ago, the problem of treatment of this disease cannot be considered finally solved. Points the fact that for correction of FDCh more than hundred ways and modifications of surgery are used to it.
Ushbu maqolada Samarqand viloyati Narpay tumanida “Agro Goldin Spring” qoramolchilikka ixtisoslashgan fermer xo‘jaligida golshtin zotli sigirlar tanasining mutanosib rivojlanganligini baholashda tana o‘lchamlari hamda tana o‘lchamlari asosida hisoblab chiqilgan tana tuzilish indekslari haqida ma’lumotlar yoritilgan
Ushbu maqolada qorako‘l qo‘ylarining tirik vazn ko‘rsatkichlari va eksteryer xususiyatlari tahlili to‘g‘risidagi ma’lumotlar keltirilgan.
The aim of the research work is determination of the prospects for the use of a domestic agent for the prevention of adhesion formation in thoraco-abdominal surgery on the basis of experimental and morphological studies.
Research objectives were white outbred rats in the amount of 62 individuals, in two experimental studies on the abdominal and pleural cavities, in each series of experiments the studies were carried out in 2 comparative groups, control and main. Experiments on the formation of adhesions in the abdominal and pleural cavities were carried out on the basis of the Republican Specialized Scientific and Practical Medical Center of Surgery named after acad. V.Vakhidov in the Department of Experimental Surgery for the period from 2019 to 2020.
The scientific novelty of the research consists of the followings: it is proved according to the data of experimental research that when modeling the adhesion process in the abdominal cavity, the local application of an anti-adhesion coating made of cellulose derivatives reduces the processes of adhesiogenesis and the development of changes in architectonics, bends and narrowings of the intestinal lumen; it was found in an experimental study that when modeling the adhesion process in the chest cavity, the local use of an anti-adhesion implant provides a significant decrease in the risk of adhesiogenesis in the form of the formation of coarse adhesions or planar adhesions; it was determined that when blood serum was applied over a powder implant, the quality of adhesion and the uniformity of its distribution on the surface of the experimental defect of the peritoneum or lung did not change, but, in contrast to activation by blood (to ensure a hemostatic effect), it was not accompanied by the development of cellular inflammation due to the resorption of thrombotic masses; it was found that the formation of a gel film over the area of damage to the peritoneum in the absence of cellular elements of blood makes it possible to achieve biodegradation of the coating without a pronounced cellular-inflammatory reaction, providing cicatricial replacement of defects with a significant reduction in the risk of developing a massive adhesive process; the morphostructural features of the formation of the adhesive process when using an anti-adhesive coating, characterized by regression in the dynamics of the number of connective tissue cells of the inflammatory infiltrate with scarring of the defect zone without the development of adhesive conglomerates with the surrounding tissues, have been determined.
Introduction of the research results. According to the results of a scientific study on a comparative analysis of the use of a domestic agent for the prevention of adhesion formation in thoraco-abdominal surgery: methodological recommendations were developed: "New technologies for the prevention of adhesions in thoraco-abdominal surgery" (certificate of the Ministry of Health No. 08-09/10055 of August 12, 2021). The proposed recommendations for performing surgical interventions on the organs of the abdominal and thoracic cavities will allow for sparing local hemostasis, as well as prevent the formation of a coarse adhesive process in the abdominal cavity.
The obtained scientific results on a comparative analysis of the use of the domestic remedy for the prevention of adhesion formation in thoraco-abdominal surgery have been introduced into the practical activities of health care, including in the Republican Specialized Scientific and Practical Medical Center for Surgery named after V.I. Academician V. Vakhidov, surgical departments of the clinics of the Andijan and Samarkand State Medical Institutes (certificate of the Ministry of Health No. 08-09/10055 of August 12, 2021). Based on the proposed results of experimental studies, it was shown that the use of an anti-adhesive coating made of cellulose derivatives made it possible to reduce the risk of adhesion formation from 60% to 20%, bowel deformation without manifestations of obstruction from 33.3% to 13.3% and the possibility of acute adhesive intestinal obstruction from 6.7% to 0%.
Structure and scope of the dissertation. The dissertation consists of an introduction, four chapters, conclusions, practical recommendations and a list of cited literature. The volume of work is 113 pages.
The history of the study of hyperhomocysteinemia goes back half a century. It is interesting that the increased level of homocysteine as a factor of vascular damage was first noticed in pediatric practice. In 1969, Kilmer S. MeCully, a professor in the Department of Pathology at Harvard University, studying a rare genetic disorder manifested by homocysteinuria (increased levels of homocysteine in the urine), suggested a link between elevated serum homocysteine levels and arterial disease. Without treatment, these children usually die at an early age from myocardial infarction or cerebral strokes. During autopsy, it was found that their vessels were the same damaged and thickened as in elderly patients with cardiovascular diseases. Clinically, this disease is characterized by a marfan-like phenotype, connective tissue lesions (high growth, arachnodactyly, lens subluxation, chest deformities, heart defects), neuropsychiatric disorders, arterial thrombosis. The pathology is based on a defect in one of the metabolic enzymes of sulfur-containing methionine, mainly in the amino acid cystothionine-E-synthetase (classical tomocysteinuria). Subsequently, it was shown that moderate and mild homocysteinemia affects the vessels of various localization, leading to pathological changes in them.
This article completely explains the procedure and methods of pathological anatomical examination of agricultural animals
The purpose of the study. Optimization of anesthesia by using the low-opioid anesthesia technique for thoracoplasty in children.
Materials and methods. Analyzed the course of anesthesia in 48 patients aged 3 to 14 years, operations for pectus excavatum in children. The distribution of patients into groups was carried out depending on the technique of anesthesia. Group 1 (main) consisted of 25 children who underwent general anesthesia using low doses of fentanyl, sevoflurane and propofol. group 2 (control) - 23 children who underwent general anesthesia with fentanyl and propofol. Echocardiography was used to determine hemodynamic parameters. The dynamics of changes in the level of cortisol in the blood and the concentration of catecholamines (adrenaline, norepinephrine, dopamine) in the blood was studied.
Results. In children of the first group, during the introductory period of anesthesia, there was a decrease in CI, an increase in heart rate and UPS. Stroke index (SI), mean arterial pressure (MAP),
cardiac index (CI) changed insignificantly compared to the previous stage of the study. In the children of the second group in the most traumatic stages of the operation, there was an increase in SI, HR, and AI. In the most traumatic stages of the operation and after the operation in children of the first group, there was a tendency to increase cortisol, in the second group of patients, an increase in cortisol was noted.