The use of a method of sequential mathematical analysis for the differential diagnosis of trauma from a fall from a height and of trauma due to the collision of a moving automobile with a pedestrian by the chest injuries

Fifty cadavers of subjects dead after falling from height and 50 cadavers of subjects dead as a result of collisions between moving cars and pedestrians were examined. Under study were injuries to soft tissues of the chest, thoracic bones and viscera, and combinations thereof. Mathematical probability successive analysis after Gubler (1978) helped distinguish 64 highly informative injuries-signs which permit determining the type of injury. Diagnostic coefficients and informative value of these signs are presented in the differential diagnostic table.     

Endoscopic treatment methods in patients with the postcholecystectomy syndrome

458 patients with postcholecystectomy syndrome have been examined. In 289 (63.1%) of them the reason of complication and location of the lesion in biliopancreatic-duodenal zone have been specified. In 212 (73.4%) patients the endoscopic treatment was used, including papillosphincterotomy with removal of concrements; suprapapillary choledochoduodenostomy; nasobiliary draining, endoprosthesis. In 181 (85.4%) of cases these methods appeared to be efficient and final; in 31 (14.6%) they promoted stabilization of clinical status of patients and performing surgery in more favorable conditions. Complications have been registered in 4 (1.9%) patients, 1 patient (0,47%) died. The authors advocate endoscopic methods as methods of choice in postcholecystectomy syndrome.     

The functional status of the body and work capacity of convalescent patients after typhoid fever

Convalescents (168 patients) who went through typhoid and 48 sound men (control group) were examined in order to study their clinical and physiological indices, mental and performance capabilities. At the end of inpatient treatment the complete normalization of functional state was marked only in group 1 (convalescents after abortive typhoid). In 96% of patients who went through slight form of disease (group 2) and middle-severe form (group 3) different disorders of functional state of organism were marked. One week after medical rehabilitation the number of convalescents who needed the continuation of rehabilitation treatment has decreased 50% in the 2nd group, after 2 weeks--up to 35%, after 3 weeks there were no changes. In the 3rd group at the end of the 1st week functional disorders were marked in 85% of patients, after 2 weeks--in 35%, after 3 weeks--in 13.8%, after 4 weeks--in 2.5%.     

Extravesicular retropubic adenomectomy of the prostate

The purpose of this study was to assess the efficacy of moradol (butorphanol tartrate) as an analgetic component of combined total anesthesia in children. The adequacy of anesthesia was assessed by echography, electrocardiography, and electroencephalography, measurements of stress hormones, electrolyte balance, and metabolic parameters at various stages of anesthesia and surgery. A total of 103 patients aged 1 to 4 years were examined, subjected to abdominal, thoracal, urological, orthopaedic, and ENT surgery. The stability of the basic hemodynamic parameters and some stress hormones in the blood during surgery indicated effective protection of the organism from surgical trauma, on the one hand, and evidenced the minimal effect of anesthesia on the adrenal and thyroid function, on the other. A single injection of moradol during induction narcosis was sufficient for 2.5 to 3 hours of surgery. No serious side effects of the drug were observed. Prolonged (10 hours on average) anesthesia persisted after the operation, this decreasing the postoperative use of analgesics.