[Classification of forms of cholangitis].
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Biomedical subjects
Publications and source records attributed to V S Zemskov.
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On the basis of clinical examinations and treatment of 174 patients the authors substantiate the importance of using special and instrumental means of diagnosis as well as the expediency of exploratory laparotomy for establishing the real cause of the disease. The efficiency of selective vagotomy in persistent spasm of the major duodenal papilla is shown.
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An original method of the surgical tactics in injuries of the liver is presented. Means of temporary and final hemostasis are described. The efficiency of external drainage of the wound is stressed. Simple suturing of the wound of the liver is shown to have shortcomings and to result in complications.
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The pathogenic agents of purulent cholangitis are known to be the conditionally pathogenic mainly gram-negative bacteria of the intestinal group. Kanamycin, monomycin, furazolidon should be used. The antibiotic treatment should be corrected according to data of inoculations of blood taken during the first days of staying in the hospital, then to data of inoculations of bile taken both during operation and at the 3d-4th postoperative days.
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