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Biomedical subjects

I I Platov

Publications and source records attributed to I I Platov.

8 recordsLinked to original sources

[Surgery of some diaphragm diseases].

The authors analyze 127 rare diaphragm diseases. Among them, the rate of true diaphragmatic hernias does not exceed 1%. The congenital through diaphragm defects were encountered three times more often than false hernias, equally frequently on the left and on the right. The majority of the patients (51.97%) had hernia of Larrey's fissure. The rate of true hernia (Morgagni's) was 3 times less than of false hernia (Larrey's). In Bochdalek's hernia (3.15%) false hernias were found three times more often than true hernias. Relaxation of diaphragm was found in 40.94% of the patients. Right-sided complete diaphragm's relaxation occurred 4 times less often than on the left, partial--10 times more often on the right than on the left. Duplication of diaphragm with inserting kapron net, velours or teflon between it layers remains the dominant way of surgical correction of total relaxation of diaphragm's cupula.

Adult↗

[Spontaneous pneumomediastinum].

The authors present 7 cases with spontaneous pneumomediastinum (SPM), a rare pathological condition. The cause of SPM is rupture of marginal alveoles and spread of air into the mediastinum through perivesical and peribronchial fats. Males are more frequently affected, but females were prevalent in this study (as 4:3). At the stage when air does not spread outside the mediastinum, Hamman's sign, i.e. "crepitation" ("a crunching sound", "a noise of air bursting bubbles") heard at cardiac auscultation is significant in the diagnosis. Dissection of air in all mediastinial structures, which is detectable during X-ray studies both at this stage of SPM, and at the stage of spread of air to the neck, chest, and abdomen is an important diagnostic sign. The evolution of SPM is generally good and conservative therapy leads to recovery in most patients. In 9-16% of patients, the evolution of the process is dramatic and requires cervical mediastinotomy after Tiegel or thoracotomy with wide mediastinotomy.

Adult↗

[Analysis of the activities of pathology departments in Obninsk during the past 20 years (1966-1985)].

This review of data from pathology departments in the town of Obninsk has shown that over the last 20 years the most frequent causes of death, among males and females alike, were cardiovascular diseases (44%), with malignant neoplasms ranking second (30%) and causing almost twice as many deaths among males as among females. From 63% to 85% of deaths due to malignancy were from epithelial tumors, particularly of the stomach and lungs. A steady increase in the volume of autopsy material and especially of material from intravital morphologic examinations was apparent, with a tendency to a rise in the proportion of biopsy specimens relative to operative specimens, although the latter still predominate.

Adolescent↗