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Biomedical subjects

V S Shchelkunov

Publications and source records attributed to V S Shchelkunov.

At least 19 recordsLinked to original sources

[Criteria of functional operability and indications for intraoperative volumetric monitoring of patients during extensive surgical procedures on the lung].

The investigation included 32 patients after extensive operative interventions on the lungs: pneumonectomy with circular resection of the trachea bifurcation and different kinds of combined pneumonectomies. Methods of Doppler echocardiography and thermal dilution were used for studying the parameters of lesser circulation before, during and after operation. Patients with the initially impaired hemodynamics had more pronounced functional changes after surgical procedures. The shift limits of the main ultrasonic indices of the right ventricle function were determined in order to form a group of the higher prognostic risk.

Adult↗

[Surgical treatment in a severe degree of obesity by ileo-jejunal bypass].

The article presents the material on the surgical treatment of 35 patients with non-corrected obesity by the operation of jejuno-shunting. The results were followed up for three years. In the nearest postoperative period 2 patients died, the other 33 patients had good results. The body mass diminished, the working capacity of the patients recovered. They believe the special importance of careful selection of patients for the operation. They believe the surgery to be possible but for strict indications and specialized hospitals. After the operations the patients need a continuous follow-up observation.

Acute Disease↗

[Expiratory closure of the airways as a cause of hypoxemia following lung resection].

The investigation performed in 48 patients have shown that following partial resection of lungs the development of arterial hypoxemia is observed being most pronounced within the first day after surgical intervention and is partly resolved by the 10th day of the postoperative period. The hypoxemia degree closely correlates with the level of expiratory closure of the respiratory tracts.

Adolescent↗