卷 2, 编号 14 (2014)
- 年: 2014
- ##issue.datePublished##: 31.08.2014
- 文章: 10
- URL: https://ogarev-online.ru/2311-2468/issue/view/19168
完整期次
Ultrasonic and angiographic diagnostics of cerebral ischemia with carotid atherosclerosis and the results of revascularization operations
摘要
When choosing the method of brain revascularization in patients with carotid atherosclerosis, clinicians usually decide on either carotid endarterectomy or carotid stenting. Carotid endarterectomy is suitable in case of the carotid artery stenosis over 75%, severe pathological tortuosity and plaques of type III–IV. Stenting of the carotid artery is recommended in case of stenosis of no more than 75%, absence of a long process, pathologic tortuosity of atherosclerotic plaques of type IV. The study has showed that the carotid endarterectomy is accompanied by a smaller percentage of residual stenosis in comparison with the carotid artery stenting. A positive clinical effect was observed in both operations. However, the result depends on the degree of preoperative neurological deficit.
The immediate outcomes of revascularized operations in patients with cerebral ischemia syndrome with carotid atherosclerosis
摘要
The article considers the results of revascularization surgeries of 32 patients by the methods of carotid endarterectomy and carotid angioplasty and stenting. After carotid stenting, there were cases of hematoma at the introducer injection site. After carotid endarterectomy, there were cases of bleeding, bruising neck, recurrent laryngeal nerve injury. The positive clinical effect was achieved in all operated patients. Neurological deficit remained in 12% of patients with critical stenosis of both internal carotid arteries, advanced atherosclerotic process, residual effects of ischemic stroke in both hemispheres.
Ultrasound diagnosis of acute venous thrombosis of the lower extremities
摘要
The article considers the results of ultrasonic diagnosis of acute venous thrombosis of the lower extremities in 334 patients. 32% of patients showed massive blood clots on the cava filter after implantation. 17% of patients showed floating clots below the vein plication. The ultrasound diagnosis confirms the need for an urgent surgical prophylaxis of pulmonary embolism, and its high efficiency.
The specifics of cognitive impairment and severity of anxiety- depressive syndrome in patients with multiple sclerosis
摘要
The article presents an assessment of cognitive deficiency and severity of the anxiety-depressive syndrome in 33 patients with the diagnosis of "Multiple Sclerosis. Cerebro-spinal form." The author uses tests to evaluate their higher brain functions and levels of depression. The tests have revealed the anxiety-depressive symptoms of varying severity in the majority of patients regarded. Thus, female patients with the disease duration of more than 7 years demonstrated the most severe depressive symptoms. Most patients with this disorder have cognitive impairments of varying severity, mainly affecting the processes of memory, concentration and short-term memory. The study has also showed a correlation between the disease duration and indicators of cognitive deficiency in the negative dynamics.
Risk factors of recurrent ischemic stroke with arterial hypertension: an analysis
摘要
This article analyzes the risk factors of recurrent ischemic stroke with hypertension. The author studies etiological characteristics and risk factors of recurrent ischemic stroke as well as assesses the quality of life of patients with this pathology. Thus, medical investigations have showed the second stroke to be more severe than the first one as it is often accompanied by gross disability of patients and less complete recovery. The incidence of recurrent stroke and death rates are much higher in patients who were not taking any regular antihypertensive or antiplatelet agents. The author have proved the need for secondary stroke prevention. As a result, the risk of recurrent ischemic attacks reduces.
The frequency of primary forms of headache among schoolchildren of Saransk city
摘要
The article considers the survey data on the structure and prevalence of various headache forms among adolescents of Saransk city. The authors have identified the perceived causes of headaches in schoolchildren. The study includes an assessment of neurotic depression and anxiety symptoms in children. The authors have proved the disorders’ influence on the students’ daily activities and academic progress.
Surgical treatment of thyroid cancer under the «guise» of benign formations
摘要
This article considers the peculiarities of diagnostics and surgical treatment of thyroid cancer.
Emotional burnout syndrome in medical doctors of various specializations: a study of Mordovia republic
摘要
Currently, a large number of organizations and enterprises introduce prophylactic measures in order to prevent the emotional burnout syndrome among their employees. By doing this, the employers aim at improving their employees health and work performance. Due to their work specifics, medical doctors are especially prone to the syndrome in question. Thus, they suffer from psychoemotional overwork resulting into various diseases, work decrement and decrease of active life. At present, there is a lack of research works dealing with the emotional burnout in medical doctors in particular.
Assessment of cerebral disorders in patients with obstructive jaundice
摘要
The authors assess the severity of brain damage in patients with obstructive jaundice by tests and laboratory parameters of different age groups. The study focuses on the compensation abilities of brain after biliary decompression by papillosphincterotomy, overlay holedohoduodenoanastomoza, choledochotomy. Considering the study results, the article presents a comparative characteristic of these types of surgical treatment.
The prevalence and severity of anxiety-depressive disorders in neurological patients
摘要
The article considers the frequency anxiety and depressive disorders in patients of neurological profile. In this connection, the author analyzes the survey data and draws some conclusions on the matter.