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Erratum to «To the 70th anniversary of Professor Sergey M. Stepanenko» (doi: 10.17816/psaic1792) 致谢尔盖-M. 斯捷潘年科教授 70 周年》(doi: 10.17816/psaic1792)勘误表
Pub Date : 2024-07-16 DOI: 10.17816/psaic1809
The editorial board regret that in the published abstract in Chinese, the name Sergey M. Stepanenko is translated in hieroglyphs, not in Latin. The editorial board is confident that the error could not significantly affect the perception of the work and interpretation of information by readers. The error has been corrected online, and the file of the article and issue have been updated.
编辑部遗憾地指出,在发表的中文摘要中,谢尔盖-斯捷潘年科(Sergey M. Stepanenko)的名字是用象形文字而不是拉丁文翻译的。编委会相信,该错误不会对读者对作品的理解和信息的解读产生重大影响。该错误已在网上更正,文章和期刊的文件也已更新。
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引用次数: 0
IX Forum of Pediatric Surgeons of Russia 第九届俄罗斯儿科外科医生论坛
Pub Date : 2024-07-16 DOI: 10.17816/psaic1821
V. Rozinov, Sergey G. Suvorov, V. Petlakh, Oleg S. Gorbachev, N. O. Erokhina
The traditional IX Forum of Pediatric Surgeons of Russia took place on November 9–11, 2023, at the Izmailovo Hotel, Moscow. The plenary session of the forum included the presentation of the S.D. Ternovsky Prize, “for his great contribution to the development of domestic pediatric surgery”, wherein Professor L.I. Budkevich gave an assembly speech “Combustiology of childhood — a first-person view” (online). Professor A.Yu. Razumovsky presented a report and historical documentary film dedicated to the 100th anniversary of the birth of Yuri F. Isakov during the plenary session. The report “Pediatric surgery of the Russian Federation. Figures and Facts” was delivered by Professor D.A. Morozov. The plenary session ended with a message from Professors E.V. Yudina and O.G. Mokrushina, “Antenatal diagnosis of congenital defects”. The video session “How I Do It” included 17 presentations with original medical technologies. The working meeting of the main freelance pediatric surgeons of the constituent entities of Russia and department heads of pediatric surgery was combined with a meeting of the specialized commission “Pediatric surgery” of the Ministry of Health of Russia and was chaired by D.A. Morozov and A.Yu. Razumovsky. The scientific program of the forum included symposia (14), round tables (4), a seminar, and a workshop. Overall, the scientific program included 169 reports, and 645 specialists participated in the forum in person. In total, 1,674 participants were registered at the forum. The total broadcast duration of the forum on the Internet was 49.5 hours. On the final day of the forum, a traditional competition of scientific research works of young scientists transpired. The IX Forum of Pediatric Surgeons of Russia was a scientific and practical event of a federal scale, showing, in an interactive format, the evolution and time frame of current problems of our specialty. The content of the reports and discussion results determined the vector of further scientific development and ways of introducing new organizational solutions and advanced medical technologies into clinical practice.
传统的第九届俄罗斯小儿外科医生论坛于2023年11月9日至11日在莫斯科伊兹梅洛沃酒店举行。论坛全体会议包括 "为表彰S.D. Ternovsky教授对国内小儿外科发展做出的巨大贡献 "而颁发的S.D. Ternovsky奖,其中L.I. Budkevich教授发表了题为 "Combustiology of childhood - a first-person view "的大会演讲(在线)。A.Yu.Razumovsky 教授在全体会议上介绍了纪念尤里-伊萨科夫(Yuri F. Isakov)诞辰 100 周年的报告和历史纪录片。报告题为 "俄罗斯联邦的小儿外科。D.A. Morozov 教授作了题为 "俄罗斯联邦小儿外科的数字与事实 "的报告。全体会议在 E.V. Yudina 教授和 O.G. Mokrushina 教授题为 "先天性缺陷的产前诊断 "的致辞中结束。在 "我是如何做到的 "视频会议上,17 位专家介绍了独创的医疗技术。俄罗斯各主体主要自由儿科医生和小儿外科主任工作会议与俄罗斯卫生部 "小儿外科 "专门委员会会议合并举行,由 D.A. Morozov 和 A.Yu.Razumovsky 主持。论坛的科学计划包括专题讨论会(14 场)、圆桌会议(4 场)、研讨会和讲习班。总体而言,科学计划包括 169 个报告,645 名专家亲自参加了论坛。共有 1674 人注册参加了论坛。论坛在互联网上的总播放时长为 49.5 小时。论坛最后一天举行了传统的青年科学家科研作品竞赛。第九届俄罗斯小儿外科医生论坛是一次具有联邦规模的科学和实践活动,以互动的形式展示了本专业当前问题的演变和时间框架。报告内容和讨论结果确定了进一步科学发展的方向,以及将新的组织解决方案和先进医疗技术引入临床实践的方式。
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引用次数: 0
Rigidity of foot deformity in congenital clubfoot: foot stiffness index 先天性马蹄内翻足足部畸形的刚性:足部硬度指数
Pub Date : 2024-07-16 DOI: 10.17816/psaic1797
Maksim V. Vlasov
BACKGROUND: A unified system for assessing the severity of congenital clubfoot in newborns and young children worldwide remains to be established. “Rigidity” of foot deformity refers to the degree of “resistance” of foot tissues during manual correction of elements of the deformity and is often used in subjective severity of foot deformity assessment. However, there is no objective quantitative assessment for the degree of foot rigidity. AIM: The study aimed to introduce a novel clinical sign — ”rigidity of foot deformation”, which enables objective assessment of the severity of foot deformity in congenital clubfoot. MATERIALS AND METHODS: Before applying the first plaster cast, a clinical dynamometric examination was performed on 350 feet of 229 children, followed by a mathematical calculation of the foot rigidity index. Statistical analysis was performed using the nonparametric Mann–Whitney U-test and Spearman’s rank correlation coefficient. Differences were considered significant at p 0.05. RESULTS: Significant differences were found in all clinical and dynamometric parameters between congenital clubfoot of I–II, III, and IV degrees (p ≤ 0.05). Generally, the higher the degree of deformity, the more effort required to eliminate it, the smaller angle of simultaneous correction, and the higher index of foot rigidity. The results of Spearman’s correlation analysis of clinical dynamometric examination indicators in children with congenital clubfoot of I–II degree may indicate the mobile nature of the foot deformity; III degree, a rigid version of the deformity; and IV degree, an extremely rigid degree of deformity. CONCLUSIONS: Rigidity of the foot deformity is a crucial clinical sign that characterizes the severity of the foot deformity, which has a quantitative characteristic — the rigidity index. Initial data on foot rigidity enables objective assessment of the severity of the deformity and selecting an individual approach to its elimination when applying staged plaster casts using the Ponseti method.
背景:全球仍未建立统一的新生儿和幼儿先天性马蹄内翻足严重程度评估系统。足部畸形的 "刚性 "是指在人工矫正畸形元素时足部组织的 "阻力 "程度,通常用于足部畸形严重程度的主观评估。然而,目前还没有对足部僵硬程度的客观量化评估。目的:本研究旨在引入一种新的临床体征--"足部畸形僵硬度",以客观评估先天性马蹄内翻足的足部畸形严重程度。材料与方法:在使用第一副石膏前,对 229 名儿童的 350 只脚进行了临床动力检查,然后用数学方法计算了足部僵硬度指数。采用非参数曼-惠特尼 U 检验和斯皮尔曼等级相关系数进行统计分析。P 0.05 为差异显著。结果:Ⅰ-Ⅱ度、Ⅲ度和Ⅳ度先天性马蹄内翻足的所有临床和动力测量参数均存在显著差异(P≤0.05)。一般来说,畸形程度越高,消除畸形所需的努力越大,同时矫正的角度越小,足部僵硬指数越高。先天性马蹄内翻足Ⅰ-Ⅱ度患儿临床动力检查指标的斯皮尔曼相关性分析结果可说明足部畸形的移动性;Ⅲ度为畸形的僵硬型;Ⅳ度为畸形的极度僵硬型。结论:足部畸形的僵硬度是描述足部畸形严重程度的重要临床表现,它有一个量化特征--僵硬度指数。足部僵硬度的初步数据有助于客观评估畸形的严重程度,并在使用 Ponseti 法分阶段石膏模型时选择个性化的方法来消除畸形。
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引用次数: 0
Perioperative use of erythrocyte-containing blood components in children during the first months of life 儿童出生后最初几个月围术期使用含红细胞的血液成分
Pub Date : 2024-07-16 DOI: 10.17816/psaic1529
Valentina M. Mezhevikina, Y. Zhirkova, V. V. Lazarev
BACKGROUND: Anemia can be diagnosed before surgery, occur during surgical treatment, and develop and worsen in the postoperative period in children with surgical diseases. Anemia is associated with increased morbidity, severe complications, and even death after surgical treatment. AIM: This study aimed to determine the frequency and indications for transfusion of red blood cell-containing components in the perioperative period in children in the first months of life. MATERIALS AND METHODS: This cohort study included 187 children from the G.N. Speransky Children’s Hospital No. 9. The hemoglobin, hematocrit, and red blood cell levels were studied as well as the volume of intraoperative blood loss, hemodynamic parameters, the presence of hemorrhagic syndrome, and the use of adrenomimetics in the perioperative period. The stage of the perioperative (pre, intra, or post) period at which the transfusion of erythrocyte-containing components was conducted was recorded. Statistical data analysis was performed using the statistical computing environment R 4.3.0. RESULTS: The average age of the children at the time of surgery was 41 (16.5–63) days [5.9 (2.4–9) weeks]. Sixty-four (34.2%) children were in their first month of life, 72 (38.5%) in their second month, and 51 (27.3%) in their third month, and 76 (40.6%) children were premature. The surgeries were emergent and urgent in 102 (54.5%) children and planned in 85 (45.5). The hemoglobin, hematocrit, and erythrocyte levels at which erythrocyte-containing components were transfused were 82 (77–90) g/l, 25% (22%–28%), and 2.8 (2.3–3.0) × 1012/l, respectively. The volume of erythrocyte-containing components was 54.0 (32.9–74.4) ml (10–30 ml/kg/child’s body weight). The need for and duration of artificial pulmonary ventilation in the postoperative period were 31 (72.1%) cases and 48.5 (22.5–190) hours, respectively, in contrast to children who did not receive transfusions of red blood cell-containing components—57 (39.6%) cases and 40 (22–96) hours. The indication for transfusion was anemia of varying degrees; however, 74.4% of children received adrenergic agonists simultaneously with transfusion to stabilize hemodynamics: dopamine monotherapy in 23 (74.2%) and combinations of dopamine and norepinephrine in 8 (25.8%) at 10 (8–12) mcg/kg/min and 0.2 (0.15–0.4) mcg/kg/min, respectively. CONCLUSION: The frequency of use of red blood cell-containing components was 23%. Threshold values for transfusion of erythrocyte-containing components Hb, Ht, and erythrocytes were 82 (77–90) g/l, 25% (22%–28%), and 2.8 (2.3–3.0) × 1012/l, respectively.
背景:对于患有外科疾病的儿童来说,贫血可在手术前诊断出来,也可在手术治疗过程中发生,还可在术后发展和恶化。贫血与手术治疗后发病率增加、严重并发症甚至死亡有关。目的:本研究旨在确定出生后几个月内儿童围手术期输注含红细胞成分的频率和适应症。材料与方法:这项队列研究包括来自 G.N. Speransky 第 9 儿童医院的 187 名儿童。研究了血红蛋白、血细胞比容和红细胞水平,以及术中失血量、血液动力学参数、出血综合征的存在和围手术期肾上腺激素的使用情况。记录了围手术期(术前、术中或术后)输注含红细胞成分的阶段。统计数据分析使用统计计算环境 R 4.3.0 进行。结果:手术时患儿的平均年龄为 41 (16.5-63) 天 [5.9 (2.4-9) 周]。64名(34.2%)患儿在出生后的第一个月,72名(38.5%)在出生后的第二个月,51名(27.3%)在出生后的第三个月,76名(40.6%)患儿为早产儿。102名(54.5%)患儿的手术属于急诊和紧急手术,85名(45.5%)患儿的手术属于计划内手术。输注含红细胞成分的血红蛋白、血细胞比容和红细胞水平分别为 82(77-90)克/升、25%(22%-28%)和 2.8(2.3-3.0)×1012/升。含红细胞成分的输血量为 54.0 (32.9-74.4) ml(10-30 ml/kg/儿童体重)。术后需要进行人工肺通气的病例为 31 例(72.1%),持续时间为 48.5(22.5-190)小时,而未接受含红细胞成分输血的病例为 57 例(39.6%),持续时间为 40(22-96)小时。输血指征为不同程度的贫血;然而,74.4%的患儿在输血的同时接受了肾上腺素能激动剂以稳定血流动力学:23 例(74.2%)患儿接受了多巴胺单药治疗,8 例(25.8%)患儿接受了多巴胺和去甲肾上腺素联合治疗,剂量分别为 10(8-12)微克/千克/分钟和 0.2(0.15-0.4)微克/千克/分钟。结论:使用含红细胞成分的频率为 23%。输注含红细胞成分 Hb、Ht 和红细胞的阈值分别为 82 (77-90) g/l、25% (22%-28%) 和 2.8 (2.3-3.0) × 1012/l。
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引用次数: 0
On the 100th anniversary of the birth of Professor Vadim G. Tsuman 纪念瓦迪姆-祖曼教授诞辰 100 周年
Pub Date : 2024-07-16 DOI: 10.17816/psaic1817
A. E. Nalivkin
The paper describes the professional activities and merits of Professor Vadim G. Tsuman, an outstanding pediatric surgeon who made a huge contribution to the development of domestic pediatric surgery.
本文介绍了为国内小儿外科发展做出巨大贡献的杰出小儿外科医生 Vadim G. Tsuman 教授的专业活动和功绩。
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引用次数: 0
Systematic review of the comparison between simultaneous and staged surgical interventions for proximal hypospadias in children: Duckett’s procedure versus Bracka’s procedure 儿童尿道下裂同时手术治疗与分期手术治疗的比较系统综述:Duckett 手术与 Bracka 手术的比较
Pub Date : 2024-07-16 DOI: 10.17816/psaic1811
I. M. Pepelyaeva, S. Kovarskiy
Selecting a treatment method for proximal hypospadias in children remains challenging. This systematic review compares the outcomes of treating proximal hypospadias with the Duckett and Bracka techniques. Literature sources published between 2008 and 2023 were searched through PubMed, Google Scholar, and eLibrary using the following keywords in English: “proximal hypospadias,” “repair OR urethroplasty,” and “outcomes OR complications.” For Russian-language sources, the keywords were “proximal hypospadias,” “urethroplasty,” “complications,” “Duckett operation,” and “Bracka operation,” After screening, four full-text articles met the inclusion criteria and were included in this review. Data from 385 patients was analyzed: 218 underwent Duckett repair and 167 underwent Bracka repair. The overall complication rate in the postoperative period was 31.11% and 10.18% for Duckett and Bracka operation, respectively. No study has been performed at a high methodological level. Currently, studies comparing single-stage and staged surgeries for proximal hypospadias are lacking. It is crucial to conduct multicenter or comparative studies that involve closer collaboration between clinics, include a larger number of patients, and have a longer followup period.
选择治疗儿童尿道下裂的方法仍具有挑战性。本系统性综述比较了 Duckett 和 Bracka 技术治疗尿道下裂的效果。通过 PubMed、Google Scholar 和 eLibrary,使用以下英文关键词搜索了 2008 年至 2023 年间发表的文献资料:"尿道下裂近端"、"修复或尿道成形术 "和 "结果或并发症"。俄语资料来源的关键词为 "尿道下裂近端"、"尿道成形术"、"并发症"、"Duckett 手术 "和 "Bracka 手术"。对 385 名患者的数据进行了分析:其中 218 人接受了 Duckett 修复术,167 人接受了 Bracka 修复术。术后 Duckett 和 Bracka 手术的总并发症发生率分别为 31.11% 和 10.18%。目前还没有方法学水平较高的研究。目前,还缺乏对尿道下裂近端单期手术和分期手术进行比较的研究。进行多中心或比较性研究至关重要,这些研究需要诊所之间更紧密的合作,纳入更多的患者,并有更长的随访期。
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引用次数: 0
Erratum to «To the anniversary of Margarita A. Barskaya» (doi: 10.17816/psaic1790) 致 Margarita A. Barskaya 周年纪念》(doi: 10.17816/psaic1790)勘误表
Pub Date : 2024-07-16 DOI: 10.17816/psaic1808
The editorial board regret that in the published abstract in Chinese, the name Margarita A. Barskaya is translated in hieroglyphs, not in Latin. The editorial board is confident that the error could not significantly affect the perception of the work and interpretation of information by readers. The error has been corrected online, and the file of the article and issue have been updated.
编辑部遗憾地指出,在发表的中文摘要中,Margarita A. Barskaya 的名字是用象形文字翻译的,而不是拉丁文。编委会相信,这一错误不会对读者对作品的理解和信息的解读产生重大影响。该错误已在网上更正,文章和期刊的文件也已更新。
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引用次数: 0
Laparoscopic retrocaval ureteroplasty in a child with combined urodynamic disorders 腹腔镜后腔输尿管成形术治疗一名合并尿动力障碍的儿童
Pub Date : 2024-07-16 DOI: 10.17816/psaic1793
E. K. Airyan, Aleksandr A. Demidov, O. Staroverov, G. Kuzovleva, Lenara R. Yarkaeva
Retrocaval location of the ureter in combination with aberrant renal vessels is a rare and complex urinary system malformation that requires careful verification. Currently, the most appropriate method for diagnosing retrocaval ureter is contrast-enhanced computed tomography. With the development of hydronephrosis or ureterohydronephrosis, the patient underwent laparoscopic ureteroplasty. Surgical treatment of retrocaval ureter involves resection of the altered ureter or pelvic–ureter segment with the formation of uretero-ureteral anastomosis or ureteropieloanastomosis anterior to the inferior vena cava. This article presents a successful laparoscopic ureteroplasty in a child with complex urodynamics of the urinary tract. Considering the presence of two levels of ureteral vascular crossing in the clinical example, pyelo-ureteral segment was performed to relocate the ureter in front of the inferior vena cava and aberrant inferior polar vessels. The patient was discharged in satisfactory condition to the outpatient stage of treatment, with subsequent hospitalization in the urological department. Retrocaval location of the ureter in combination with aberrant renal vessels is a rare congenital anomaly that requires prompt examination in a specialized clinic and an individual examination and treatment plan.
输尿管后腔位置合并肾血管异常是一种罕见而复杂的泌尿系统畸形,需要仔细核实。目前,诊断后腔输尿管最合适的方法是造影剂增强计算机断层扫描。随着肾积水或输尿管肾积水的发展,患者接受了腹腔镜输尿管成形术。后腔输尿管的手术治疗包括切除改变的输尿管或肾盂输尿管段,并在下腔静脉前方形成输尿管输尿管吻合术或输尿管输尿管吻合术。本文介绍了一例在腹腔镜下成功进行输尿管成形术的患儿,该患儿的尿路动力学非常复杂。考虑到临床病例中存在两层输尿管血管交叉,因此进行了肾盂输尿管分段术,将输尿管移至下腔静脉和畸形下极血管前方。患者在门诊治疗阶段情况满意出院,随后在泌尿科住院治疗。输尿管后腔位置合并肾血管异常是一种罕见的先天性畸形,需要及时到专科门诊进行检查,并制定个性化的检查和治疗方案。
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引用次数: 0
To the reviewers: Letter of appreciation 致审稿人感谢信
Pub Date : 2024-04-11 DOI: 10.17816/psaic1791
V. Rozinov
In this article, the editor-in-chief of the journal expresses gratitude to the journal’s reviewers who make valuable contributions to the improvement of the quality of scientific articles. Because of the joint efforts of the editorial board, publisher, authors, and reviewers, the journal was included in the international scientific database Scopus. The article provides a list of reviewers who participated in the work in 2023.
在这篇文章中,期刊主编向为提高科学文章质量做出宝贵贡献的期刊审稿人表示感谢。在编辑部、出版商、作者和审稿人的共同努力下,该期刊被国际科学数据库 Scopus 收录。文章提供了参与 2023 年工作的审稿人名单。
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引用次数: 0
Robot-assisted distal pancreatectomy with spleen preservation in the treatment of a child with a solid pseudopapillary tumor 保留脾脏的机器人辅助胰腺远端切除术治疗一名实性假乳头状瘤患儿
Pub Date : 2024-04-11 DOI: 10.17816/psaic1772
Y. Kozlov, S. Poloyan, E. V. Sapukhin, A. S. Strashinsky, M. V. Makarochkina, A. A. Marchuk, Alexander P. Rozhanskii, A. A. Byrgazov, S. A. Muravev, A. N. Narkevich
The use of robots in pancreatic surgery offers several advantages as an adjunct to laparoscopic surgery, including increased maneuverability of robotic instruments and three-dimensional (3D) visualization. To our knowledge, only two cases of robot-assisted distal pancreatectomy with spleen preservation in children have been reported worldwide. In this study, the patient was an 11-year-old boy who was admitted to a children’s hospital with complaints of recurrent upper abdominal pain. He was diagnosed with pancreatic tumor based on ultrasound findings. It was confirmed by magnetic resonance imaging, which revealed a well-defined heterogeneous formation at the border of the body and tail of the pancreas, measuring 2.28 × 2.73 × 2.62 cm with compression of the Wirsung duct. The surgical intervention was performed using a surgical robot VERSIUS (CMR, (UK). Splenic vessels were mobilized carefully, a tourniquet was placed around the body of the pancreas, and it was intersected using a stapler at the border of healthy tissue. The surgical intervention took 340 min, including robot installation time (docking time) of 15 min and a main console time of 325 min. No serious intraoperative complications, such as bleeding or damage to the vascular structures adjacent to the pancreas (branches of the celiac trunk and portal vein), were noted. Histological examination of the tumor confirmed the diagnosis of a solid pseudopapillary tumor. After surgery, the patient’s condition was stable. Recovery proceeded without complications. Magnetic resonance imaging of the abdominal cavity, which was performed 6 months after surgery, revealed no signs of disease recurrence. Robot-assisted surgery is an acceptable alternative to laparoscopic and open surgery for patients with solid pseudopapillary pancreatic tumors because robots offer additional connections, enable closure in improved 3D imaging, increase dexterity when handling instruments, and eliminate of hand tremors.
作为腹腔镜手术的辅助手段,机器人在胰腺手术中的应用具有多种优势,包括提高机器人器械的可操作性和三维(3D)可视化。据我们所知,全球仅有两例机器人辅助下的儿童远端胰腺切除术并保留脾脏的报道。在这项研究中,患者是一名 11 岁的男孩,因反复上腹部疼痛而住进一家儿童医院。根据超声波检查结果,他被诊断为胰腺肿瘤。磁共振成像证实了这一诊断,显示在胰腺体和胰腺尾部的边界处有一个界限清楚的异质形成,大小为 2.28 × 2.73 × 2.62 厘米,并压迫维尔星管。手术使用手术机器人 VERSIUS(英国 CMR 公司)进行。小心地移动脾脏血管,在胰腺体周围放置止血带,用订书机在健康组织的边界处进行穿刺。手术过程耗时340分钟,包括机器人安装时间(对接时间)15分钟和主控台时间325分钟。术中未发现严重并发症,如出血或胰腺附近血管结构(腹腔干和门静脉分支)受损。肿瘤组织学检查确诊为实性假乳头状瘤。术后,患者病情稳定。术后恢复顺利,未出现并发症。术后 6 个月进行的腹腔磁共振成像检查没有发现疾病复发的迹象。对于胰腺实性假乳头状瘤患者来说,机器人辅助手术是腹腔镜手术和开腹手术的一种可接受的替代方案,因为机器人提供了更多的连接,能够在改进的三维成像中进行闭合,提高了操作器械时的灵活性,并消除了手部震颤。
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引用次数: 0
期刊
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care
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