175 research outputs found
Use of monitoring system in Ekaterinburg
The monitoring of buildings and structures condition, as well as the timely implementation of corrective actions aimed at the elimination of adverse factors, are the most important aspects that shall be addressed at the construction stage. The usage of monitoring systems makes it possible to monitor the building condition and above that to implement more efficient design solutions in the prospective projects using the results of the analysis of the acquired and design data. In this work the review of a monitoring system installed in a high-rise building located in Ekaterinburg is given. The paper describes the analysis of the natural oscillation frequency and the logarithmic decrement of fundamental tone acquired with the help of accelerometers, and compares the values with the acceptance limits. The process of converting data acquired by strain gauges for the determination of the stress-strain condition of the bearing structures is analysed. The process of comparison of data obtained by the monitoring system of a high-rise building is described. The necessity of the application of the monitoring system is analysed. Β© Published under licence by IOP Publishing Ltd
Π‘ΠΎΠ²Π΅ΡΡΠ΅Π½ΡΡΠ²ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΠΏΠΎΠ½ΡΠ°Π½Π½ΠΎΠ³ΠΎ ΠΏΠ½Π΅Π²ΠΌΠΎΡΠΎΡΠ°ΠΊΡΠ° Ρ ΠΏΠΎΠΌΠΎΡΡΡ Π²ΠΈΠ΄Π΅ΠΎΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ
Videothoracoscopic operations are more effective than standard open surgery. The number of recurrences of spontaneous pneumothorax after videothoracoscopic operations were 3.6%, and after open surgery β 2.6%. Method of choice for surgical treatment of spontaneous pneumothorax is videothoracoscopic operations. Videoassisted operations are more efficient and allow to perform low-impact operations using multiple-cross-linking domestic vehicles apparatuses.Π ΡΡΠ°ΡΡΠ΅ ΠΎΠ±ΠΎΠ±ΡΠ΅Π½ 15-Π»Π΅ΡΠ½ΠΈΠΉ ΠΎΠΏΡΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ Π²ΠΈΠ΄Π΅ΠΎΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ ΠΏΡΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠΈ 616 Π±ΠΎΠ»ΡΠ½ΡΡ
ΡΠΎ ΡΠΏΠΎΠ½ΡΠ°Π½Π½ΡΠΌ ΠΏΠ½Π΅Π²ΠΌΠΎΡΠΎΡΠ°ΠΊΡΠΎΠΌ. ΠΠΏΠΈΡΠ°Π½Ρ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠΈ ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
Π²ΠΈΠ΄Π΅ΠΎΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΠΎΠ±ΡΠ΅ΠΌΠ° ΠΈ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΡΠΎΡΠ΅ΡΡΠ° Π² Π»Π΅Π³ΠΎΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ. Π Π°ΡΡΠΌΠΎΡΡΠ΅Π½Ρ ΡΡΠ°ΠΏΡ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΠΏΠΎΠ½ΡΠ°Π½Π½ΠΎΠ³ΠΎ ΠΏΠ½Π΅Π²ΠΌΠΎΡΠΎΡΠ°ΠΊΡΠ°. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· Π²ΡΠΏΠΎΠ»Π½Π΅Π½Π½ΡΡ
Π²ΠΈΠ΄Π΅ΠΎΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ ΠΏΡΠΈ ΡΡΠΎΠΌ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΈ. Π Π΅ΡΠΈΠ΄ΠΈΠ²Ρ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΠΏΡΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠΈ Π΄Π°Π½Π½ΠΎΠ³ΠΎ ΠΌΠ΅ΡΠΎΠ΄Π° Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΈ 3,6 %. ΠΠ΅ΡΠ°Π»ΡΠ½ΡΡ
ΠΈΡΡ
ΠΎΠ΄ΠΎΠ² Π½Π΅ Π±ΡΠ»ΠΎ
Results of surgical treatment of postinfarction left ventricular aneurysm complicated with ventricular tachycardia with use of 3D-navigation system CARTOβ’
The aim of the research was to study localization of wandering focus and effectiveness of extensive endocardectomy at left ventricular reconstruction in patients with ischemic heart disease (IHD) with postinfarction left ventricular aneurysm (LVA) in combination with ventricular tachycardia (VT). Examined patients besides diagnostic routines had intracardiac electrophysiological examination (EPE) with use of 3D-navigation system CARTOTX (Biosense Webster). During EPE abnormal zones of delayed navigating and zones of double potential with main localization in the area of cacuminal and middle septate segments were found. All patients were divided into two groups: patients of the first group had aortocoronary bypass (ACB) in combination with left ventricular reconstruction completed with extended resection of endocardium with pinch of all cacuminal and middle septate segments; 2 patients of the second group had isolated ACB, 2 patients had ACB with mitral annuloplasty with rim and de Vega plasty of tricuspid valve, 1 patient had percutaneous transluminal coronary angioplasty, 10 patients hadACB in combination with LVA plasty without extended endocardium resection. As the result of the treatment in the first group there were no VT episodes after resection of aneurysm with extended endocardium resection; 33 % of patients in the second group had implantable cardioverter defibrillator, 7 % of the patients had radio frequency ablation of VT nidus, 7 % of the patients had anti-arrhythmic therapy. Taking into consideration that main localization of ectopic nidus in patients with IHD with postinfarction LVA and VT is in the area of cacuminal and middle septate segments, left ventricular reconstruction in these patients needs to be conducted with extended resection of endocardium of these segments
Π‘ΠΏΠΎΡΠΎΠ± ΠΏΠ°Π»Π»ΠΈΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΡΡ ΡΠΎΡΠΌ ΡΠ°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ
We have proposed a palliative method for common forms of lung cancer, which combines the two previously mentioned methods. Using this method allows not only to stop the lung bleeding, but restore airway passage of the bronchi and then continue with the treatment of lung cancer (chemotherapy, radiotherapy). We used this method in 16 patients with age group from 54 to 76 years, with central lung cancer III AβIV stages, who had lung hemorrhage and atelectasis of bronchus. In the first step, rentgenendovascular embolization of bronchial artery (REVEBA) and their branches approaching to the tumor is performed. In the next stage, the patients underwent laser recanalization of tumor stenosis of the segmental or main bronchi. We were able to achieve a positive hemostatic effect in 15 patients, which was seen throughout first 5 months. Recanalization and restoration of the bronchial airway was achieved in all the patients. All these factors allowed the patients undergo subsequent radiation and chemotherapy. Tumor relapse, recurrence of stenosis and pulmonary bleeding have not been observed during the first 5 months. Possibilities of using the adove mentioned methods in the treatment of common forms of lung cancer have been shown.ΠΠ°ΠΌΠΈ ΠΏΡΠ΅Π΄Π»ΠΎΠΆΠ΅Π½ ΡΠΏΠΎΡΠΎΠ± ΠΏΠ°Π»Π»ΠΈΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΡΡ
ΡΠΎΡΠΌ ΡΠ°ΠΊΠ° Π»ΡΠ³ΠΊΠΎΠ³ΠΎ, ΠΊΠΎΡΠΎΡΡΠΉ ΠΎΠ±ΡΠ΅Π΄ΠΈΠ½ΡΠ΅Ρ Π΄Π²Π΅ ΡΠ°Π½Π΅Π΅ ΡΠΊΠ°Π·Π°Π½Π½ΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠΈ. ΠΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π΄Π°Π½Π½ΠΎΠ³ΠΎ ΡΠΏΠΎΡΠΎΠ±Π° ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ ΠΎΡΡΠ°Π½ΠΎΠ²ΠΈΡΡ Π»Π΅Π³ΠΎΡΠ½ΠΎΠ΅ ΠΊΡΠΎΠ²ΠΎΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΈ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²ΠΈΡΡ ΠΏΡΠΎΡ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ Π±ΡΠΎΠ½Ρ
Π°, Π½ΠΎ ΠΈ Π² Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠ΅ΠΌ ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΡ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ ΡΠ°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ (Ρ
ΠΈΠΌΠΈΠΎΡΠ΅ΡΠ°ΠΏΠΈΡ, Π»ΡΡΠ΅Π²Π°Ρ ΡΠ΅ΡΠ°ΠΏΠΈΡ). ΠΠ°Π½Π½ΡΠΉ ΡΠΏΠΎΡΠΎΠ± ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ Π½Π°ΠΌΠΈ Ρ 16 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΠ΅Π½ΡΡΠ°Π»ΡΠ½ΡΠΌ ΡΠ°ΠΊΠΎΠΌ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ III AβIV ΡΡ., Ρ ΠΊΠΎΡΠΎΡΡΡ
Π±ΡΠ»ΠΎ Π»Π΅Π³ΠΎΡΠ½ΠΎΠ΅ ΠΊΡΠΎΠ²ΠΎΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΈ Π°ΡΠ΅Π»Π΅ΠΊΡΠ°Π· Π±ΡΠΎΠ½Ρ
Π°. ΠΠ΅ΡΠ²ΡΠΌ ΡΡΠ°ΠΏΠΎΠΌ Π²ΡΠΏΠΎΠ»Π½ΡΠ»Π°ΡΡ ΡΠ΅Π½ΡΠ³Π΅Π½ΡΠ½Π΄ΠΎΠ²Π°ΡΠΊΡΠ»ΡΡΠ½Π°Ρ ΡΠΌΠ±ΠΎΠ»ΠΈΠ·Π°ΡΠΈΡ Π±ΡΠΎΠ½Ρ
ΠΈΠ°Π»ΡΠ½ΡΡ
Π°ΡΡΠ΅ΡΠΈΠΉ ΠΈ ΠΈΡ
Π²Π΅ΡΠ²Π΅ΠΉ, ΠΏΠΎΠ΄Ρ
ΠΎΠ΄ΡΡΠΈΡ
ΠΊ ΠΎΠΏΡΡ
ΠΎΠ»ΠΈ. Π‘Π»Π΅Π΄ΡΡΡΠΈΠΌ ΡΡΠ°ΠΏΠΎΠΌ Π±ΡΠ»Π° Π»Π°Π·Π΅ΡΠ½Π°Ρ ΡΠ΅ΠΊΠ°Π½Π°Π»ΠΈΠ·Π°ΡΠΈΡ ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΡ
ΡΡΠ΅Π½ΠΎΠ·ΠΎΠ² Π±ΡΠΎΠ½Ρ
ΠΎΠ². ΠΠ°ΠΌ ΡΠ΄Π°Π»ΠΎΡΡ Π΄ΠΎΠ±ΠΈΡΡΡΡ ΠΏΠΎΠ»ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ Π³Π΅ΠΌΠΎΡΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΡΡΠ΅ΠΊΡΠ° Ρ 15 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² (ΡΡΠΎΠΉΠΊΠΈΠΉ Π³Π΅ΠΌΠΎΡΡΠ°Π· ΠΎΡΠΌΠ΅ΡΠ°Π»ΡΡ Π½Π° ΠΏΡΠΎΡΡΠΆΠ΅Π½ΠΈΠΈ 5 ΠΌΠ΅Ρ.), Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠ΅ΠΊΠ°Π½Π°Π»ΠΈΠ·Π°ΡΠΈΠΈ Π±ΡΠΎΠ½Ρ
ΠΎΠ² Ρ Π²ΡΠ΅Ρ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². ΠΡΠ΅ ΡΡΠΎ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ Π½Π°ΡΠΈΠΌ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ Π² ΠΏΠΎΡΠ»Π΅Π΄ΡΡΡΠ΅ΠΌ ΠΏΡΠΎΠΉΡΠΈ Π»ΡΡΠ΅Π²ΡΡ Π»ΠΈΠ±ΠΎ Ρ
ΠΈΠΌΠΈΠΎΡΠ΅ΡΠ°ΠΏΠΈΡ. ΠΠ° 5-ΠΌΠ΅ΡΡΡΠ½ΡΠΉ ΠΏΠ΅ΡΠΈΠΎΠ΄ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ ΡΠ΅ΡΠΈΠ΄ΠΈΠ² ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΠΎΠ³ΠΎ ΡΡΠ΅Π½ΠΎΠ·Π° ΠΈ ΠΏΠΎΠ²ΡΠΎΡΠ½ΡΠ΅ Π»Π΅Π³ΠΎΡΠ½ΡΠ΅ ΠΊΡΠΎΠ²ΠΎΡΠ΅ΡΠ΅Π½ΠΈΡ Π½Π°ΠΌΠΈ Π½Π΅ Π½Π°Π±Π»ΡΠ΄Π°Π»ΠΈΡΡ. ΠΠΎΠΊΠ°Π·Π°Π½Π° Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ ΠΌΠ΅ΡΠΎΠ΄Π° Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½Π½ΡΡ
ΡΠΎΡΠΌ Π·Π»ΠΎΠΊΠ°ΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΡ
ΠΎΠΏΡΡ
ΠΎΠ»Π΅ΠΉ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ
Our experience of surgical treatment of aortic arch obstruction in children in the presence of antegrade selective cerebral perfusion
This work is about outcomes of surgical treatment aortic arch obstruction in children performed with the use of selective cerebral perfusion and moderate hypothermia. The study included 97 patients with aortic coarctation, recoarctation and hypoplastic aortic arch. The patients were divided into 3 groups. 75 patients with isolated coarctation and recoarctation or with concomitant atrial septal defects, patentforamen ovale and patent ductus arterious were assigned to the 1st group. The 2nd group included 13 patients with aortic arch obstruction and ventricular septal defects. The 3rd group consisted of 9 patients with coarctation, recoarctation and complex intracardiac anomalies. All patients underwent reconstruction of the aortic arch with selective cerebral perfusion and moderate hypothermia. Overall mortality rate was 4%. Postoperative complications took place in 7% of the cases: 1% - postoperative bleeding, 1% - paresis of the diaphragm, 2% - pneumothorax, 2% - chylothorax, and 1% of the cases - vocal cords paresis. Respiratory postoperative complications were registered in 5% of cases. In 6% of the cases patients had neurological postoperative complications. After the operation there was no gradientfound between the pressures on upper and lower extremities. We consider that antegrade selective cerebral perfusion and moderate hypothermia during aortic arch reconstruction are effective methods of brain and visceral organs protection
Interleukins 4 and 6 as factors of modulation of subpopulation composition of blood monocytes in patients with ischemic cardiomyopathy
Aim. To evaluate the ratio of the fractions of classical, intermediate, non-classical and transitional monocytes in correlation with the concentration of interleukins 4 and 6 in the blood of patients with ischemic cardiomyopathy.
Methods. 18 patients with ischemic cardiomyopathy (17 men and 1 woman) aged 47-66 years with circulatory insufficiency of functional class II-III according to the classification of heart failure of the New York Heart Association, were examined. The control group included 14 healthy donors matched by gender and age to patients with ischemic cardiomyopathy without any diseases of cardiovascular system and other systems in an exacerbation stage. In blood of the patients with ischemic cardiomyopathy, the relative content of classical (CD14++CD16-), intermediate (CD14++CD16+), non-classical (CD14+CD16+) and transitional (CD14+CD16-) monocytes was assessed by flow cytometry and the concentration of interleukins 4 and 6 by enzyme-linked immunosorbent assay (ELISA).
Results. It was shown that the number of non-classical monocytes in the blood of patients with ischemic cardiomyopathy was 2 times lower than normal (5.05 % [4.08; 6.58] and 10.07 % [9.34; 13.84], respectively, p < 0.01), as well as the concentration of interleukin-4 (0.02 pg/ml [0; 0.04] and 0.15 pg/ml [0.05; 0.65], respectively, p < 0.05). The number of classical monocytes in the blood of patients had a tendency to decrease, and the proportion of intermediate monocytes and the concentration of interleukin-6, on the contrary, were slightly higher than in healthy individuals, and were interdependent (r = 0.61; p < 0.05). The relative content of transitional monocytes in the blood was comparable with that of healthy donors.
Conclusions. The subpopulation composition of blood monocytes in patients with ischemic cardiomyopathy is characterized by a deficiency of the fraction of non-classical monocytes with protective properties against endothelium, and interleukin-4 in the blood with a certain increase in the content of interleukin-6 and the number of intermediate cells with ability to cooperate with T-lymphocytes, which predisposes to diffuse atheromatosis of small coronary arteries and diffuse hypoxic myocardial damage in ischemic cardiomyopathy
Improvement of Diagnostic System in a Real-Time RT-PCR βAmpliSens EBOV (ZAIRE)-FLβ Format for Zaire ebolavirus RNA Detection
Taking into consideration experience in utilization of βAmpliSens EBOV (ZAIRE)-FLβ in the setting of SAET mobile laboratory complex, carried out has been the improvement of the panel with a view to elapsed time reduction and analytical sensitivity enhancement. It provides for the analytical sensitivity increase up to 200 copies per ml, which is 10 times higher than the previous measurement, that accounted for 2Β·103 copies per ml. The timing of the assay has been reduced up to 1 h 25 min, which is 25 % less than the time needed for the standard study. Modification of βAmpliSens EBOV (ZAIRE)-FLβ panel benefits to the enhancement of epidemiological surveillance activities intended to stop the spread of Zaire ebolavirus in West Africa and prevent its importation into the Russian Federation
ΠΠΠΠΠΠ’ΠΠ ΠΠΠΠ‘ΠΠΠΠΠ§ΠΠ‘ΠΠΠ― Π ΠΠΠΠΠ¦ΠΠ― ΠΠΠΠΠΠ₯ Π‘ ΠΠ‘ΠΠΠΠ¬ΠΠΠΠΠΠΠΠ ΠΠΠΠΠ’Π ΠΠ‘ΠΠΠ ΠΠ§ΠΠ«Π₯ Π’ΠΠ₯ΠΠΠΠΠΠΠ
ΠΠ±ΠΎΠ±ΡΠ΅Π½ ΠΎΠΏΡΡ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ Ρ 113 Π±ΠΎΠ»ΡΠ½ΡΡ
Π²ΠΈΠ΄Π΅ΠΎΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ (ΠΠ’Π‘) ΡΠ΅Π·Π΅ΠΊΡΠΈΠΈ Π»Π΅Π³ΠΊΠΈΡ
(Π Π) Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΡΠ»Π΅ΠΊΡΡΠΎΡΠ²Π°ΡΠΎΡΠ½ΡΡ
ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ (ΠΠ‘Π’). ΠΡΠΈΠ²Π΅Π΄Π΅Π½Π° ΠΎΡΠ΅Π½ΠΊΠ° ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊ ΡΠ½Π΄ΠΎΡΠΎΡΠ°ΠΊΠ°Π»ΡΠ½ΡΡ
ΡΠ»Π΅ΠΊΡΡΠΎΡΠ²Π°ΡΠΎΡΠ½ΡΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ, Π² ΡΠΎΠΌ ΡΠΈΡΠ»Π΅ Π² ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΠΈ Ρ Π½Π°Π»ΠΎΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ²Π°, ΡΡΠ°Π²Π½ΠΈΡΠ΅Π»ΡΠ½Π°Ρ ΠΎΡΠ΅Π½ΠΊΠ° ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
ΡΠ»Π΅ΠΊΡΡΠΎΡΠ²Π°ΡΠΎΡΠ½ΡΡ
ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠΎΠ² Π² ΠΠ’Π‘ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ Π»Π΅Π³ΠΊΠΈΡ
.
ΠΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΠ‘Π’ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ ΡΠΌΠ΅Π½ΡΡΠΈΡΡ ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ, ΡΡΠΆΠ΅ΡΡΡ ΠΊΡΠΎΠ²ΠΎΠΏΠΎΡΠ΅ΡΠΈ, Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ Π»Π΅ΡΠ΅Π½ΠΈΡ Π±ΠΎΠ»ΡΠ½ΡΡ
Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ΅ Π΄ΠΎ 7,3 Π΄Π½Ρ. ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΠΌ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠ΅ΠΌ Π±ΡΠ»Π° Π½Π΅Π³Π΅ΡΠΌΠ΅ΡΠΈΡΠ½ΠΎΡΡΡ ΡΠ²Π° Π»Π΅Π³ΠΊΠΈΡ
(7%), Π»Π΅Π³ΠΊΠΎ ΡΡΡΡΠ°Π½ΠΈΠΌΠ°Ρ ΠΊΠΎΠ½ΡΠ΅ΡΠ²Π°ΡΠΈΠ²Π½ΡΠΌΠΈ ΠΌΠ΅ΡΠΎΠ΄Π°ΠΌΠΈ
Possibilities of improving of videothoracoscopic operations, performed for spontaneous pneumothorax
ΠΠ±ΠΎΠ±ΡΠ΅Π½ 15βΠ»Π΅ΡΠ½ΠΈΠΉ ΠΎΠΏΡΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ Π²ΠΈΠ΄Π΅ΠΎΡΠΎΡΠ°ΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ (ΠΠ’Π) ΠΏΡΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠΈ 616 Π±ΠΎΠ»ΡΠ½ΡΡ
ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρ ΡΠΏΠΎΠ½ΡΠ°Π½Π½ΠΎΠ³ΠΎ ΠΏΠ½Π΅Π²ΠΌΠΎΡΠΎΡΠ°ΠΊΡΠ° (Π‘Π). ΠΠΏΠΈΡΠ°Π½Ρ ΠΌΠ΅ΡΠΎΠ΄Ρ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ ΠΠ’Π Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΠΎΠ±ΡΠ΅ΠΌΠ° ΠΈ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΡΠΎΡΠ΅ΡΡΠ° Π² ΡΠΊΠ°Π½ΠΈ Π»Π΅Π³ΠΊΠΈΡ
. Π Π°ΡΡΠΌΠΎΡΡΠ΅Π½Ρ ΡΡΠ°ΠΏΡ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π° ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρ Π‘Π. Π Π΅ΡΠΈΠ΄ΠΈΠ²Ρ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΠΏΡΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠΈ ΠΠ’Π Π²ΠΎΠ·Π½ΠΈΠΊΠ»ΠΈ Ρ 3, 6 Π±ΠΎΠ»ΡΠ½ΡΡ
. ΠΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ ΠΆΠΈΠ²Ρ.A 15βyears experience of videothoracoscopic operations in the treatment of 616 patients, suffering spontaneous pneumothorax, was summarized. The methods of videothoracoscopic operations, depending on the volume and localization of pathological process in pulmonary tissues, were depicted. The stages of endoscopic surgical intervention for spontaneous pneumothorax were analyzed. The disease recurrence, while using videothoracoscopic operations, have occurred in 3.6% of patients. All the patients are alive
The Use of Sutureless Electrosurgical and Ultrasound Technologies in Lung Surgeries β Literature Review
ΠΠ° ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΌ ΡΡΠΎΠ²Π½Π΅ ΡΠ°Π·Π²ΠΈΡΠΈΡ Π²ΠΈΠ΄Π΅ΠΎΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ Π»Π΅Π³ΠΊΠΈΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ Π²ΡΠ±ΠΎΡΠ° ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠ½Π΄ΠΎΡΡΠ΅ΠΏΠ»Π΅ΡΠΎΠ² (ΠΠ‘), ΠΎΡΡΡΠ΅ΡΡΠ²Π»ΡΡΡΠΈΡ
ΠΎΠ΄Π½ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠ΅ ΠΏΡΠΎΡΠΈΠ²Π°Π½ΠΈΠ΅ ΠΈ ΡΠ°ΡΡΠ΅ΡΠ΅Π½ΠΈΠ΅ Π»Π΅Π³ΠΎΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ ΠΌΠ΅ΠΆΠ΄Ρ Π½Π°Π»ΠΎΠΆΠ΅Π½Π½ΡΠΌ ΡΡΠ΄ΠΎΠΌ ΡΠ°Π½ΡΠ°Π»ΠΎΠ²ΡΡ
ΡΠΊΠΎΠ±ΠΎΠΊ. ΠΠ΄Π½Π°ΠΊΠΎ ΡΠΈΡΠΎΠΊΠΎΠ΅ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΠ‘ ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΎ, ΡΡΠΎ ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠΎΠ² Π½Π΅ Π²ΡΠ΅Π³Π΄Π° ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°Π΅Ρ Π½Π°Π΄Π΅ΠΆΠ½ΡΠΉ Π°ΡΡΠΎΡΡΠ°Π·, ΡΡΠΎ Π·Π°ΡΡΠ°Π²Π»ΡΠ΅Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°ΡΡ Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡΠ΅Π»ΡΠ½ΡΠ΅ ΡΠΈΠ½ΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ. ΠΡΠΎΠΌΠ΅ ΡΠΎΠ³ΠΎ, Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΊΠ°ΠΌΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ ΠΠ‘ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΈΡ
Π²ΡΡΠΎΠΊΠ°Ρ ΡΠ΅Π½Π°, ΠΏΠΎΡΡΠ΅Π±Π½ΠΎΡΡΡ Π² ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠΈ Π½Π΅ΡΠΊΠΎΠ»ΡΠΊΠΈΡ
ΠΊΠ°ΡΡΡΠΈΠ΄ΠΆΠ΅ΠΉ, ΠΏΠΎΡΡΡΠ΅Π·Π΅ΠΊΡΠΈΠΎΠ½Π½ΠΎΠ΅ Π²ΡΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅ ΠΈΠ· Π΄ΡΡ
Π°Π½ΠΈΡ Π½Π΅ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½ΡΡ
ΡΡΠ°ΡΡΠΊΠΎΠ² Π»Π΅Π³ΠΎΡΠ½ΠΎΠΉ ΠΏΠ°ΡΠ΅Π½Ρ
ΠΈΠΌΡ, Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΡΠ΅ ΡΡΡΠ΄Π½ΠΎΡΡΠΈ Π² ΡΠ°Π·ΠΌΠ΅ΡΠ΅Π½ΠΈΠΈ ΡΠ°Π±ΠΎΡΠ΅ΠΉ ΡΠ°ΡΡΠΈ Π°ΠΏΠΏΠ°ΡΠ°ΡΠ° Π² ΠΏΠ»Π΅Π²ΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΏΠΎΠ»ΠΎΡΡΠΈ, Π±ΠΎΠ»ΡΡΠΎΠΉ Π΄ΠΈΠ°ΠΌΠ΅ΡΡ ΡΠΎΡΠ°ΠΊΠΎΠΏΠΎΡΡΠ° (Π’), Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΡΠΉ Π΄Π»Ρ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ ΠΠ‘.The review presents data of the use of electric seal and ultrasonic technology in the performance of open and videothoracoscopic lung resections. The possibility of seamless resection of the lung tissue by using bipolar electric seal (LigaSure) and ultrasonic (Harmonic) scalpel with tolerable aerohemostasis shown. The advantages and possible drawbacks of these methods displayed
- β¦