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[Correction of complete transposition of great vessels in association with common atrium, partial form of patent atrioventricular canal, tricuspid insufficiency and accessory superior vena cava]. 【总心房大血管完全性转位、房室管部分未闭、三尖瓣不全及副上腔静脉的矫正】。
Pub Date : 1989-11-01
V P Podzolkov, Iu I Bondarev, B G Alekian, A I Kim
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引用次数: 0
[Radical correction of isolated left ventricle-right atrium communication]. 【孤立左心室-右心房交通根治性矫正】。
Pub Date : 1989-11-01
M M Makhmudov, D S Guliamov, Kh A Abdumadzhidov, E M Nagrebetskaia, T A Nazarova
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引用次数: 0
[Plastic surgery of pleural empyema cavity using the latissimus dorsi muscle on a vascular pedicle]. [应用血管蒂背阔肌的胸膜脓胸腔整形手术]。
Pub Date : 1989-11-01
K A Tsybyrné, D I Gulia, G N Groza, I A Bunu

The article describes the method of operation for removal of a pyothorax cavity and a bronchial fistula with the use of the latissimus dorsi muscle which is mobilized from all sites of attachment to bone structures and separated to a neurovascular pedicle. The operation was carried out on 6 patients with tuberculous and unspecific pyothorax with a bronchial fistula and a defect in the thoracic wall. Due to its large size, the presence of a long main vascular pedicle, and anatomical position, this muscle can be used successfully in the management of such patients. A good effect was produced with minimum functional loss.

本文描述了利用背阔肌从骨结构的所有附着部位动员并分离到神经血管蒂的手术方法,以去除脓胸腔和支气管瘘。本文对6例合并支气管瘘及胸壁缺损的结核性非特异性脓胸进行了手术治疗。由于其大的尺寸,存在一个很长的主血管蒂,和解剖位置,这块肌肉可以成功地用于治疗这类患者。以最小的功能损失获得了良好的效果。
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引用次数: 0
[Immunological tests in the prognostication of postoperative complications in patients with chronic diseases of the lungs]. [免疫试验在慢性肺部疾病患者术后并发症预测中的应用]。
Pub Date : 1989-11-01
Iu N Levashev, T E Dovnar, V F Martalog

The authors examined 50 patients with chronic diseases of the lungs in the pre- and post-operative period. Immunological indices, neutrophil phagocytic activity in the first place, in combination with the laboratory severity index make it possible to conduct effective control of preoperative management and the patients condition in the postoperative period.

作者在术前和术后检查了50例慢性肺部疾病患者。免疫指标,首先是中性粒细胞吞噬活性,结合实验室严重程度指标,可以对术前管理和术后患者病情进行有效控制。
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引用次数: 0
[Central hemodynamics during correction of acquired aortic defects without artificial blood circulation]. [无人工血液循环的获得性主动脉缺损矫治过程中的中央血流动力学]。
Pub Date : 1989-11-01
I Iu Bravve, S E Naumenko, S F Kim, E S Filimonov

The article discusses the results of study of central hemodynamics in patients with acquired aortic valvular diseases who were operated on under conditions of hypothermia without perfusion. The minute circulation volume reduced at a temperature of 26.8 degrees C to 63% of the initial level. The stroke volume did not change practically. The changes of the values of central hemodynamics in the stages of hypothermia (active and passive cooling) were irregular in character. No essential inhibiting effect of hypothermia on the cardiovascular activity was noted.

本文讨论了在低温无灌注条件下手术的获得性主动脉瓣疾病患者中央血流动力学的研究结果。在26.8摄氏度的温度下,分循环体积减少到初始水平的63%。冲程量实际上没有变化。中心血流动力学值在低体温(主动和被动冷却)阶段的变化具有不规则性。没有注意到低温对心血管活动的基本抑制作用。
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引用次数: 0
[Surgical treatment of chronic osteomyelitis of the sternum]. [胸骨慢性骨髓炎的外科治疗]
Pub Date : 1989-11-01
A A Vishnevskiĭ, A K Oganesian, V V Golovteev, Iu V Romashov, V A Mazhorov, A L Gaganov

The efficacy of surgical rehabilitation of patients with chronic osteomyelitis of the sternum is shown. Surgical treatment was divided in most cases into two stages: removal of the involved areas of the sternum and adjoining ribs and fixed muscular or musculocutaneous plastics. The obtained results are reassuring and promote further development of surgery of this region.

显示了胸骨慢性骨髓炎患者手术康复的效果。手术治疗在大多数情况下分为两个阶段:切除受损伤的胸骨和邻近的肋骨,固定肌肉或肌肉皮肤塑料。结果令人安心,促进了本区外科的进一步发展。
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引用次数: 0
[2 cases of diaphragmatic hernia]. [2例膈疝]。
Pub Date : 1989-11-01
A A Sadobnikov, A D Kuznetsova, P V Pastukhov
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引用次数: 0
[Morphofunctional criteria for the selection of patients with ischemic heart disease and associated arterial hypertension for surgical treatment]. 【缺血性心脏病及相关动脉高血压患者手术治疗选择的形态功能标准】。
Pub Date : 1989-11-01
O F Gor'kavaia, Iu I Buziashvili, L M Fitileva, V P Kertsman, T Iu Kuznetsova

After examination of 255 patients with ischemic heart disease (IHD) and concomitant arterial hypertension (AH) two groups were distinguished according the level of arterial pressure. Group 1 was formed of 89 patients (arterial pressure below 180/80 mm Hg), group 2--of 166 patients (arterial pressure above 180/100 mm Hg). Survival was determined according to certain morphofunctional indices (total affection of coronary arteries, left ventricular output fraction, left ventricular end diastolic pressure, tolerance to physical effort) in nonoperated on and operated on patients suffering from IHD and concomitant AH. It was found that the operation affects positively the "quality" of life more than the survival.

对255例缺血性心脏病(IHD)合并动脉高血压(AH)患者进行检查,根据动脉压水平将其分为两组。第一组89例患者(动脉压低于180/80 mm Hg),第二组166例患者(动脉压高于180/100 mm Hg)。根据某些形态功能指标(冠状动脉总影响、左室输出分数、左室舒张末期压、体力耐受性)来确定IHD合并AH的非手术和手术患者的生存期。研究发现,手术对患者生活质量的积极影响大于对生存率的积极影响。
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引用次数: 0
[Giant chondroma of the thoracic wall]. [胸壁巨大软骨瘤]。
Pub Date : 1989-11-01
V V Zharkov, I A Davidovskiĭ, Zh A Stefanovich
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引用次数: 0
[Angiocardiographic and echocardiographic diagnosis of complete transposition of great vessels in association with pathology of the aorta]. 【与主动脉病理相关的大血管完全转位的心血管造影和超声心动图诊断】。
Pub Date : 1989-11-01
B G Alekian, V A Garibian, A P Nikoliuk, G A Zubkova, M A Nasedkina

The article analyses experience in the diagnosis of a pathological condition of the aorta in complete transposition of the great vessels (CTGV) in infants. Pathology of the aorta was revealed in 9 (2.6%) of the 350 patients who were examined. Six patients with CTGV had coarctation of the aorta (CA), 2 had subaortic stenosis, and one patient had complete interruption of the arch of the aorta. Our experience provides evidence that two-dimensional echocardiography allows the region of the thoracic aorta to be located from a suprasternal or a high right parasternal approach. Subaortic stenosis was diagnosed in 2 patients during autopsy. Retrospective analysis of the echocardiograms and angiocardiograms revealed characteristic signs of subaortic obstruction. Absence of the continuity of the arch and descending aorta is an echocardiographic sign of interruption of the arch of the aorta which was recognized retrospectively only after angiocardiography. Right and left ventriculography must be performed for precise anatomical diagnosis of CTGV with an intact interventricular septum combined with coarctation of the aorta. In patients with concomitant interventricular septal defect this examination is supplemented by antegrade and retrograde aortography from the ascending aorta to exclude patent ductus arteriosus and for better visualization of CA. Catheterization of all heart cavities, right and left ventriculography, aortography, and pulmonary arteriography must be carried out in all patients with total interruption of the continuity of the arch of the aorta.

本文分析了婴儿完全性大血管转位(CTGV)主动脉病变的诊断经验。350例患者中有9例(2.6%)出现主动脉病变。CTGV患者有6例主动脉缩窄,2例主动脉下狭窄,1例主动脉弓完全中断。我们的经验证明,二维超声心动图可以从胸骨上或高右胸骨旁入路定位胸主动脉区域。2例患者在尸检时被诊断为主动脉下狭窄。回顾性分析超声心动图和心血管造影显示主动脉下梗阻的特征性征象。主动脉弓和降主动脉不连续性是主动脉弓中断的超声心动图征象,只有在心血管造影后才被回顾性地认识到。右室和左心室造影必须进行精确的解剖诊断CTGV室间隔完整合并主动脉缩窄。对于合并室间隔缺损的患者,该检查应辅以升主动脉的顺行和逆行主动脉造影,以排除动脉导管未闭,并更好地显示CA。对于所有主动脉弓连续性完全中断的患者,必须进行所有心腔插管、左右心室造影、主动脉造影和肺动脉造影。
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引用次数: 0
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Grudnaia khirurgiia (Moscow, Russia)
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