D. Meherremov, M. Muradov, K. Mukhamedkerim, Y.A. Imirov, G.Zh. Seilkhanova, Y.N. Nabiyev, M. Karimov, N.S. Akhmetov
Fat embolism is a polyetiological disease and still remains common, which is an urgent problem of our time. It occurs due to the ingress of adipose tissue into the lumen of the vessel, which causes its blockage. At the same time, a trend towards an increase in the incidence is observed everywhere. The purpose of this work is to analyze the literature data on the topic: fat embolism in plastic surgery after surgery - abdominoplasty in combination with liposuction. Material and methods. We systematically searched the literature and selected sources from MEDLINE, Cochrane databases, Google Scholar, PubMed, as well as research papers and online educational publications in English and Russian. Forty papers that met the inclusion criteria were included. Results. The review article presents methods for the prevention and treatment of patients with fat embolism, pathogenesis and stages of development of this pathological condition, as well as methods for choosing treatment tactics. Conclusion. Thus, there are many opinions on the treatment of fat embolism and there is no single standardized protocol for managing patients. After analyzing the reviewed information, we came to the conclusion that therapeutic measures should be aimed at stopping the main clinical manifestations of an injury or disease.
{"title":"FAT EMBOLISM AS A COMPLICATION AFTER SURGERY – ABDOMINOPLASTY IN COMBINATION WITH LIPOSUCTION (LITERATURE REVIEW)","authors":"D. Meherremov, M. Muradov, K. Mukhamedkerim, Y.A. Imirov, G.Zh. Seilkhanova, Y.N. Nabiyev, M. Karimov, N.S. Akhmetov","doi":"10.35805/bsk2022iii010","DOIUrl":"https://doi.org/10.35805/bsk2022iii010","url":null,"abstract":"Fat embolism is a polyetiological disease and still remains common, which is an urgent problem of our time. It occurs due to the ingress of adipose tissue into the lumen of the vessel, which causes its blockage. At the same time, a trend towards an increase in the incidence is observed everywhere. The purpose of this work is to analyze the literature data on the topic: fat embolism in plastic surgery after surgery - abdominoplasty in combination with liposuction. Material and methods. We systematically searched the literature and selected sources from MEDLINE, Cochrane databases, Google Scholar, PubMed, as well as research papers and online educational publications in English and Russian. Forty papers that met the inclusion criteria were included. Results. The review article presents methods for the prevention and treatment of patients with fat embolism, pathogenesis and stages of development of this pathological condition, as well as methods for choosing treatment tactics. Conclusion. Thus, there are many opinions on the treatment of fat embolism and there is no single standardized protocol for managing patients. After analyzing the reviewed information, we came to the conclusion that therapeutic measures should be aimed at stopping the main clinical manifestations of an injury or disease.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114836842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Shirtaev, M. Sundetov, N. Yerimova, D.O. Bogdanova, S. Mukashev
The overwhelming majority of thoracic and pediatric surgeons are of the opinion that it is necessary to perform early surgeries for congenital bronchiectasis, since bronchial dilatation leads to infection of bronchial contents and repeated exacerbations of the inflammatory process, but some pediatricians express a reserved attitude to operations in childhood, adhering to long-term follow-up tactics. Purpose. To present statistical data on the situation of patients with congenital bronchiectasis of different age categories and to offer separate recommendations for the treatment and diagnosis of patients with congenital bronchiectasis. Material and methods. 433 patients with congenital bronchiectasis were operated in our clinic, which was 50.9% of all congenital lung malformations. The patients’ age ranged from 2 to 65 years. There were more children and adolescents (60.9%) than adults (39.1%). Results. The article presents the results of diagnostics and surgical treatment of 433 patients with congenital bronchiectasis. It was found that the immediate and long-term results of surgical treatment of children are better than those of adult patients
{"title":"SURGERY OF CONGENITAL BRONCHEECTASES IN CHILDREN AND ADULTS","authors":"B. Shirtaev, M. Sundetov, N. Yerimova, D.O. Bogdanova, S. Mukashev","doi":"10.35805/bsk2022iii025","DOIUrl":"https://doi.org/10.35805/bsk2022iii025","url":null,"abstract":"The overwhelming majority of thoracic and pediatric surgeons are of the opinion that it is necessary to perform early surgeries for congenital bronchiectasis, since bronchial dilatation leads to infection of bronchial contents and repeated exacerbations of the inflammatory process, but some pediatricians express a reserved attitude to operations in childhood, adhering to long-term follow-up tactics. Purpose. To present statistical data on the situation of patients with congenital bronchiectasis of different age categories and to offer separate recommendations for the treatment and diagnosis of patients with congenital bronchiectasis. Material and methods. 433 patients with congenital bronchiectasis were operated in our clinic, which was 50.9% of all congenital lung malformations. The patients’ age ranged from 2 to 65 years. There were more children and adolescents (60.9%) than adults (39.1%). Results. The article presents the results of diagnostics and surgical treatment of 433 patients with congenital bronchiectasis. It was found that the immediate and long-term results of surgical treatment of children are better than those of adult patients","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133282643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Egizekov, K. Kuatbekov, K. Karakoishin, A. V. Mishin, A. Nurbekov
Aim of the study – Evaluate the value of multispiral computed tomography (MSCT) with intravenous contrast in the diagnosis of congenital heart disease (CHD) at the stage of preoperative preparation and choice of surgical tactics. Methods. Between January 2021 and June 2022, 30 CT cardiographies were performed in our center, of different age and mediastinal pathology. A 64-slice Somaton Siemens sensation 64 CT scanner complete with digital processing systems was used. The main vessels of the heart were examined with intravenous bolus injection of contrast agent. Image analysis included study of anatomy of the defect by three-plane tomograms and construction of multiplanar 3-D reconstructions. Results. Modern approaches to the imaging diagnosis of CHD in all age groups are presented. The role of CT-angiography with intravenous contrast in the diagnosis of congenital, acquired cardiovascular and thoracic pathology is shown. Qualitative assessment of CT-angiographic picture of CHD was performed. Conclusion. Our experience with CT cardiography in the examination of patients with CHD, in contrast to traditional ultrasound and invasive techniques, in most cases allows to obtain more valuable diagnostic information, especially extracardiac structures, which determines its significance in the examination of CHD. It details anatomy of malformations in reliable morphometric indices, diagnosis of aortic, pulmonary artery, right ventricular pathology, including pathology of its outflow tract, to assess ventricular-artery connections and atrialventricular connections.
{"title":"COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF CONGENITAL HEART DISEASE","authors":"A. Egizekov, K. Kuatbekov, K. Karakoishin, A. V. Mishin, A. Nurbekov","doi":"10.35805/bsk2022iii040","DOIUrl":"https://doi.org/10.35805/bsk2022iii040","url":null,"abstract":"Aim of the study – Evaluate the value of multispiral computed tomography (MSCT) with intravenous contrast in the diagnosis of congenital heart disease (CHD) at the stage of preoperative preparation and choice of surgical tactics. Methods. Between January 2021 and June 2022, 30 CT cardiographies were performed in our center, of different age and mediastinal pathology. A 64-slice Somaton Siemens sensation 64 CT scanner complete with digital processing systems was used. The main vessels of the heart were examined with intravenous bolus injection of contrast agent. Image analysis included study of anatomy of the defect by three-plane tomograms and construction of multiplanar 3-D reconstructions. Results. Modern approaches to the imaging diagnosis of CHD in all age groups are presented. The role of CT-angiography with intravenous contrast in the diagnosis of congenital, acquired cardiovascular and thoracic pathology is shown. Qualitative assessment of CT-angiographic picture of CHD was performed. Conclusion. Our experience with CT cardiography in the examination of patients with CHD, in contrast to traditional ultrasound and invasive techniques, in most cases allows to obtain more valuable diagnostic information, especially extracardiac structures, which determines its significance in the examination of CHD. It details anatomy of malformations in reliable morphometric indices, diagnosis of aortic, pulmonary artery, right ventricular pathology, including pathology of its outflow tract, to assess ventricular-artery connections and atrialventricular connections.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"2004 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129649528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. V. Sapunov, I.Y. Sagatov I.Y., B. Ormanov, Ye. Ye. Abilkhanov
Patient K., male smoker, 65 years old, suffering from type 2 diabetes, adhering to basic therapy, in year 2018 underwent isolated internal mammary bypass surgery for coronary artery disease. In 2022, due to a deterioration in general well-being in the form of stabbing pains behind the sternum, shortness of breath during physical exertion, pain and numbness of the left upper limb, he was scheduled for coronary angiography with shuntography. During routine shuntography through the left radial access, the presence of retrograde filling of the LIMA graft was established, indicating the presence of the phenomenon of coronary-subclavian steal. Elimination of hemodynamically significant stenosis of the left subclavian artery with a peripheral balloon-expandable stent led to successful remodeling of left coronary hemodynamics, relief of angina symptoms, and restoration of adequate blood flow in the left upper limb in the early postoperative period.
{"title":"CORONARY-SUBCLAVIAN STEAL SYNDROME, TREATED BY BALOON-EXPANDABLE PERIPHERAL STENT. CASE REPORT","authors":"A. V. Sapunov, I.Y. Sagatov I.Y., B. Ormanov, Ye. Ye. Abilkhanov","doi":"10.35805/bsk2022iii029","DOIUrl":"https://doi.org/10.35805/bsk2022iii029","url":null,"abstract":"Patient K., male smoker, 65 years old, suffering from type 2 diabetes, adhering to basic therapy, in year 2018 underwent isolated internal mammary bypass surgery for coronary artery disease. In 2022, due to a deterioration in general well-being in the form of stabbing pains behind the sternum, shortness of breath during physical exertion, pain and numbness of the left upper limb, he was scheduled for coronary angiography with shuntography. During routine shuntography through the left radial access, the presence of retrograde filling of the LIMA graft was established, indicating the presence of the phenomenon of coronary-subclavian steal. Elimination of hemodynamically significant stenosis of the left subclavian artery with a peripheral balloon-expandable stent led to successful remodeling of left coronary hemodynamics, relief of angina symptoms, and restoration of adequate blood flow in the left upper limb in the early postoperative period.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"433 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125760751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chingiz Sadykov, M. Nagasbekov, Zhasulan Baimakhanov
The PAIR operation (Punction, Aspiration, Injection, Reaspiration) is a minimally invasive method for treating echinococcosis cysts (EC) of the liver at the CE1 stage. Since in this method of surgical treatment the echinococcosis cyst is not removed from the liver, constant monitoring of patients using complex radiation diagnostic methods is necessary. - ultrasound and CT diagnostics.
{"title":"ULTRASONIC MONITORING OF ECHINOCOCCAL CYSTS AFTER PAIR PROCEDURE","authors":"Chingiz Sadykov, M. Nagasbekov, Zhasulan Baimakhanov","doi":"10.35805/bsk2022iii047","DOIUrl":"https://doi.org/10.35805/bsk2022iii047","url":null,"abstract":"The PAIR operation (Punction, Aspiration, Injection, Reaspiration) is a minimally invasive method for treating echinococcosis cysts (EC) of the liver at the CE1 stage. Since in this method of surgical treatment the echinococcosis cyst is not removed from the liver, constant monitoring of patients using complex radiation diagnostic methods is necessary. - ultrasound and CT diagnostics.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124484787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article discusses the issues of predicting the likelihood of a postoperative complication in cardiac surgery patients by stratifying the risks associated with surgical intervention. The author used the Aristotle Basic Score and EuroSCORE scales, the most common in the practice of a cardiac surgeon, showed the feasibility and effectiveness of their use, and an assessment of the results obtained.
{"title":"STRATIFICATION METHODS OF OPERATIONAL RISK IN CARDIOSURGICAL PATIENTS. LITERATURE REVIEW","authors":"I. Sagatov","doi":"10.35805/bsk2022iii034","DOIUrl":"https://doi.org/10.35805/bsk2022iii034","url":null,"abstract":"The article discusses the issues of predicting the likelihood of a postoperative complication in cardiac surgery patients by stratifying the risks associated with surgical intervention. The author used the Aristotle Basic Score and EuroSCORE scales, the most common in the practice of a cardiac surgeon, showed the feasibility and effectiveness of their use, and an assessment of the results obtained.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128472688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. I. Isaev, Zhasulan Baimakhanov, D.D. Аkhmet, P.М. Аslanov, Е.K. Nurlanbayev, B.Sh. Еrmashov, А.А. Аstay, N. N. Birzhanbekov, A. Matkerimov, А.Т. Chormanov, B. Baimakhanov
In this study, we present the results of a retrospective comparative analysis of the results of hemorrhoidectomies by traditional methods and the «HAL-RAR» method. The purpose of the study. To conduct a retrospective comparative analysis of the results of traditional hemorrhoidectomies and «HAL-RAR» in patients treated in surgical departments of “A.N. Syzganov National Scientific Center for Surgery” JSC, Almaty, Kazakhstan. Material and methods. In the period from June 2018 to April 2021, 108 patients were operated on as planned for chronic hemorrhoids at A.N. Syzganov National Scientific Center for Surgery, and all patients were divided into 2 main groups: those operated by traditional methods and the «HAL-RAR» method. Results. The analysis data suggest that the «HAL-RAR» method has an advantage over traditional methods of hemorrhoidectomy. Conclusion. Based on a comparative analysis of the indicators of patients of both groups, it can be concluded that the duration of surgery with the minimally invasive «HAL-RAR» method is 40.6 minutes, which is significantly longer than with traditional methods, amounting to 48.4 minutes. Despite this, the duration of hospital stay after surgery by the «HAL-RAR» method is 2.6 days, which is much less than with traditional methods, in which the duration of hospital stay after surgery is 3.5 days. Local infiltration anesthesia during operations by the «HAL-RAR» method was performed by 77.7% of patients, when with traditional methods 25.9% of patients. This analysis shows that the «HAL-RAR» method has an advantage over traditional methods.
{"title":"COMPARATIVE ANALYSIS OF THE RESULTS OF HEMORRHOIDECTOMY BY TRADITIONAL METHODS AND THE «HAL-RAR» METHOD","authors":"M. I. Isaev, Zhasulan Baimakhanov, D.D. Аkhmet, P.М. Аslanov, Е.K. Nurlanbayev, B.Sh. Еrmashov, А.А. Аstay, N. N. Birzhanbekov, A. Matkerimov, А.Т. Chormanov, B. Baimakhanov","doi":"10.35805/bsk2022iii016","DOIUrl":"https://doi.org/10.35805/bsk2022iii016","url":null,"abstract":"In this study, we present the results of a retrospective comparative analysis of the results of hemorrhoidectomies by traditional methods and the «HAL-RAR» method. The purpose of the study. To conduct a retrospective comparative analysis of the results of traditional hemorrhoidectomies and «HAL-RAR» in patients treated in surgical departments of “A.N. Syzganov National Scientific Center for Surgery” JSC, Almaty, Kazakhstan. Material and methods. In the period from June 2018 to April 2021, 108 patients were operated on as planned for chronic hemorrhoids at A.N. Syzganov National Scientific Center for Surgery, and all patients were divided into 2 main groups: those operated by traditional methods and the «HAL-RAR» method. Results. The analysis data suggest that the «HAL-RAR» method has an advantage over traditional methods of hemorrhoidectomy. Conclusion. Based on a comparative analysis of the indicators of patients of both groups, it can be concluded that the duration of surgery with the minimally invasive «HAL-RAR» method is 40.6 minutes, which is significantly longer than with traditional methods, amounting to 48.4 minutes. Despite this, the duration of hospital stay after surgery by the «HAL-RAR» method is 2.6 days, which is much less than with traditional methods, in which the duration of hospital stay after surgery is 3.5 days. Local infiltration anesthesia during operations by the «HAL-RAR» method was performed by 77.7% of patients, when with traditional methods 25.9% of patients. This analysis shows that the «HAL-RAR» method has an advantage over traditional methods.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"63 20","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113986357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Kuandykov, V. Mutagirov, N.A. Kurbanbekov, A.A. Nagashybay
Fibrinogen is an important protein of hemostasis. In blood plasma, its concentration is the highest of all coagulation proteins - clotting factors. When coagulation cascade activated, thrombin splits fibrinogen and triggers fibrin polymerization to the form required for efficient clot formation. In acute blood loss, dilutional coagulopathy may develop, causing decreasing fibrinogen levels, which is critical for clot formation. Recently, there has been emerged and rapidly increased the interest in fibrinogen replacement during acute bleeding as a point of the bleeding treatment and prevention, especially in the perioperative patients. This study reviews current data on relevant plasma fibrinogen levels and dosing in various clinical settings, as well as clinical experience with the use of fibrinogen concentrate in patients with dilutional coagulopathy and disseminated Intravascular coagulation syndrome is described.
{"title":"THE ROLE OF FIBRINOGEN IN COAGULATION STATUS, METHODS OF ITS CORRECTION. LITERATURE REVIEW AND CLINICAL CASE","authors":"T. Kuandykov, V. Mutagirov, N.A. Kurbanbekov, A.A. Nagashybay","doi":"10.35805/bsk2022ii042","DOIUrl":"https://doi.org/10.35805/bsk2022ii042","url":null,"abstract":"Fibrinogen is an important protein of hemostasis. In blood plasma, its concentration is the highest of all coagulation proteins - clotting factors. When coagulation cascade activated, thrombin splits fibrinogen and triggers fibrin polymerization to the form required for efficient clot formation. In acute blood loss, dilutional coagulopathy may develop, causing decreasing fibrinogen levels, which is critical for clot formation. Recently, there has been emerged and rapidly increased the interest in fibrinogen replacement during acute bleeding as a point of the bleeding treatment and prevention, especially in the perioperative patients. This study reviews current data on relevant plasma fibrinogen levels and dosing in various clinical settings, as well as clinical experience with the use of fibrinogen concentrate in patients with dilutional coagulopathy and disseminated Intravascular coagulation syndrome is described.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132051370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Niyazov, S.M. Niyazova, Zh.A. Chyngyshova, E. Tilekov
Objective.To assess the process model of development of the triad of health subsystems: clinical and inpatient care (K-SP), «outpatient care (A-PP), medical and social assistance (M-SP). Theresultsoftheassessmentoftheprocessmodelforthedevelopmentofsuchhealthsubsystemsas»clinicalandin patientcare»(«K-SP»),»outpatientandpolycliniccare» («A-PP»), «medical and social assistance» («M-SP» are presented. A-PP» takes asignificantpartoftheloadof»K-SP»onitself,inconnectionwithwhich,forthedevelopmentof stationary replacement technologies, it is necessary to seek a redistribution of fundingfrom»K-SP»to»A-PP».
{"title":"PROCESS MODELS FOR THE DEVELOPMENT OF THE TRIAD OF HEALTHCARE SUBSYSTEMS: «CLINICAL AND INPATIENT CARE», «OUTPATIENT AND POLYCLINIC CARE», «MEDICAL AND SOCIAL ASSISTANCE»","authors":"B. Niyazov, S.M. Niyazova, Zh.A. Chyngyshova, E. Tilekov","doi":"10.35805/bsk2022ii051","DOIUrl":"https://doi.org/10.35805/bsk2022ii051","url":null,"abstract":"Objective.To assess the process model of development of the triad of health subsystems: clinical and inpatient care (K-SP), «outpatient care (A-PP), medical and social assistance (M-SP). Theresultsoftheassessmentoftheprocessmodelforthedevelopmentofsuchhealthsubsystemsas»clinicalandin patientcare»(«K-SP»),»outpatientandpolycliniccare» («A-PP»), «medical and social assistance» («M-SP» are presented. A-PP» takes asignificantpartoftheloadof»K-SP»onitself,inconnectionwithwhich,forthedevelopmentof stationary replacement technologies, it is necessary to seek a redistribution of fundingfrom»K-SP»to»A-PP».","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134554714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Saidova, N. Muradov, J. Aslanova, O. Shahsuvarov, L. Akhmedova
Objective. Identify the frequency of occurrence of various morphological types and different degrees of severity of anemia in patients with autoimmune thyroiditis. Material and methods.Were analyzed97 case histories of patients operated for autoimmune thyroiditis (AIT)in 2012. When assessing hematological parameters, two groups were identified: group 1 – patients with AIT with mild anemia (n = 72), age 45.7 ± 1.6, men - 5 (6.9%), women - 67 (93, 1%); group 2 - patients with AIT with moderate anemia (n = 25), age 40.0 ± 2.3, men - 1 (4%), women - 24 (96%). In the clinical analysis of blood, hemoglobin, hematocrit, the number of erythrocytes and erythrocyte indexes of MCV, MCH, MCHC were determined. Results. By morphological type in patients with AIT with mild anemia, the hypochromic type was observed in 56 (77.8%) patients, normochromic - in 16 (22.2%) patients. In moderate anemia, this tendency was more pronouned: hypochromic type of anemia was detected in 23 (92%) patients, normochromic type - in 1(4%) and hyperchromic in 1(4%). Thus, in patients with AIT, mild anemia was more often determined (in 72.4%), then moderate anemia (in 25.7%). With moderate severity of anemia, microcytic (84%) and hypochromic (92%) types of anemia were more often observed. With mild anemia, the same types of anemias were observed, but with a lower frequency (76.4% and 77.8%, respectively). Conclusion. The hemogram in patients with AIT was characterized by a more frequent development of mild anemia (72.4%). With mild anemia, hematological disorders were characterized by microcytic (76.4%) and hypochromic (77.8%) types of anemia. Similar, but more pronounced disorders were observed in moderate anemia: microcytic 84% and hypochromic 92%, which is characteristic for iron deficiency anemia
{"title":"HEMATOLOGICAL DISORDERS IN PATIENTS WITH AUTOIMMUNE THYROIDITIS","authors":"F. Saidova, N. Muradov, J. Aslanova, O. Shahsuvarov, L. Akhmedova","doi":"10.35805/bsk2022ii031","DOIUrl":"https://doi.org/10.35805/bsk2022ii031","url":null,"abstract":"Objective. Identify the frequency of occurrence of various morphological types and different degrees of severity of anemia in patients with autoimmune thyroiditis. Material and methods.Were analyzed97 case histories of patients operated for autoimmune thyroiditis (AIT)in 2012. When assessing hematological parameters, two groups were identified: group 1 – patients with AIT with mild anemia (n = 72), age 45.7 ± 1.6, men - 5 (6.9%), women - 67 (93, 1%); group 2 - patients with AIT with moderate anemia (n = 25), age 40.0 ± 2.3, men - 1 (4%), women - 24 (96%). In the clinical analysis of blood, hemoglobin, hematocrit, the number of erythrocytes and erythrocyte indexes of MCV, MCH, MCHC were determined. Results. By morphological type in patients with AIT with mild anemia, the hypochromic type was observed in 56 (77.8%) patients, normochromic - in 16 (22.2%) patients. In moderate anemia, this tendency was more pronouned: hypochromic type of anemia was detected in 23 (92%) patients, normochromic type - in 1(4%) and hyperchromic in 1(4%). Thus, in patients with AIT, mild anemia was more often determined (in 72.4%), then moderate anemia (in 25.7%). With moderate severity of anemia, microcytic (84%) and hypochromic (92%) types of anemia were more often observed. With mild anemia, the same types of anemias were observed, but with a lower frequency (76.4% and 77.8%, respectively). Conclusion. The hemogram in patients with AIT was characterized by a more frequent development of mild anemia (72.4%). With mild anemia, hematological disorders were characterized by microcytic (76.4%) and hypochromic (77.8%) types of anemia. Similar, but more pronounced disorders were observed in moderate anemia: microcytic 84% and hypochromic 92%, which is characteristic for iron deficiency anemia","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114668234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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