Biomedical subjects
Publications and source records attributed to V S Starykh.
A scheme of the diagnosis of subarachnoidal hemorrhages in patients with closed craniocerebral injury is offered. It provides for distribution of hemorrhages according to the cause, intensity and stages. The results were investigated in 595 patients. The use of the scheme for diagnosis in public health is likely to promote the accuracy of diagnosis and more goal-oriented treatment.
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The author proposes a working clinical classification of subarachnoidal hemorrhage with closed head injuries according to which hemorrhages are subdivided by their causes, intensity and stage of the disease. Use of this classification in practical medicine will increase exactness of diagnosis and improve treatment results.
Experiments were performed in 30 biomannequins. Single puncture subarachnoidal perfusion cleared the subarachnoidal spaces of the brain and medulla free of preinjected dye. The clearance was more radical at the base, in the brain hemisphere cysterns and sulci, at the pons, medullar and spinal levels. This can be regarded as anatomical ground for the expedience of puncture perfusion in order to clear the subarachnoidal space.
Puncture-perfusion technique has been introduced for subarachnoidal sanative treatment in patients with brain contusions complicated with subarachnoidal hemorrhages. The intervention resulted in faster reversal of general cerebral and meningeal signs, restoring to normal values the body temperature, heart rate, venous and CSF pressures. Indications and counterindications for this technique application are given.
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The article deals with the pathogenesis of subarachnoidal haemorrhage related to closed craniocerebral trauma with the reversible deformation of the cranial bones in the phase of damage. It is suggested that the damage to the blood vascular wall and the development of primary subarachnoidal haemorrhage is to a considerable extent caused by the effect of the membrane pump arising after a reversible deformation of cranial bones and manifesting by sharp changes in hydraulic pressure and the movement of liquid media in the subarachnoidal space of the cranial cavity.
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