2010 ã. ¹2 Òîì 18

ÎÁÙÀß È ×ÀÑÒHÀß ÕÈÐÓÐÃÈß

Ã.Â. ßÐÎÂÅHÊÎ, Ñ.Å. ÊÀÒÎÐÊÈH, Ï.Í. ÌÛØÅHÖÅÂ

ÐÎËÜ ÁÈÎÌÅÕÀHÈ×ÅÑÊÈÕ ÈÑÑËÅÄÎÂÀHÈÉ ÏÐÈ ÕÐÎHÈ×ÅÑÊÎÉ ËÈÌÔÎÂÅHÎÇHÎÉ HÅÄÎÑÒÀÒÎ×HÎÑÒÈ HÈÆHÈÕ ÊÎHÅ×HÎÑÒÅÉ

ÃÎÓ ÂÏÎ «Ñàìàðñêèé ãîñóäàðñòâåííûé ìåäèöèíñêèé óíèâåðñèòåò Ðîñçäðàâà»,
Ðîññèéñêàÿ Ôåäåðàöèÿ

Äèñòðîôè÷åñêèå è àòðîôè÷åñêèå èçìåíåíèÿ, ðàçâèâàþùèåñÿ â ìûøöàõ íèæíèõ êîíå÷íîñòåé, çíà÷èòåëüíî óõóäøàþò òå÷åíèå âòîðè÷íîãî ëèìôîñòàçà. Ýòî ñïîñîáñòâóåò âîçíèêíîâåíèþ íåîáðàòèìûõ àíàòîìè÷åñêèõ è ôèçèîëîãè÷åñêèõ èçìåíåíèé. Àâòîðàìè ïðîâåä¸í àíàëèç ýëåêòðîíåéðî-ìèîãðàôè÷åñêèõ èññëåäîâàíèé ó 51 ïàöèåíòà âòîðè÷íûì ëèìôîñòàçîì íèæíèõ êîíå÷íîñòåé ìåäèàëüíîé ãðóïïû ìûøö áåäðà è ãîëåíè, ðàñïîëîæåííûõ ñðàçó ïîä ìåäèàëüíûì ëèìôàòè÷åñêèì êîëëåêòîðîì. Âûÿâëåíû íàðóøåíèÿ íåðâíîé ïðîâîäèìîñòè è óõóäøåíèÿ ñîêðàòèòåëüíîé ñïîñîáíîñòè ìûøö. Îñóùåñòâë¸í ìîíèòîðèíã èññëåäîâàííûõ ïîêàçàòåëåé ïîñëå êóðñà êîíñåðâàòèâíîãî è îïåðàòèâíîãî ëå÷åíèé. Èñïîëüçîâàíèå â äèàãíîñòèêå ëèìôîâåíîçíîé íåäîñòàòî÷íîñòè íèæíèõ êîíå÷íîñòåé áèîìåõàíè÷åñêèõ èññëåäîâàíèé íåîáõîäèìî äëÿ âûáîðà àäåêâàòíîãî ìåòîäà ëå÷åíèÿ.

Êëþ÷åâûå ñëîâà: âòîðè÷íûé ëèìôîñòàç, ýëåêòðîíåéðîìèîãðàôèÿ, êîíñåðâàòèâíîå è îïåðàòèâíîå ëå÷åíèå
ñ. 56-63 îðèãèíàëüíîãî èçäàíèÿ
Ñïèñîê ëèòåðàòóðû
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  46. A reduction in clot formation rate and strength assessed by thrombelastography is indicative of transfusion requirements in patients with penetrating injuries / A. J. Plotkin [et al.] // J. Trauma. – 2008. – Vol. 64. – P. S64-S68.
  47. Thrombelastography is Better Than PT, aPTT, and Activated Clotting Time in Detecting Clinically Relevant Clotting Abnormalities After Hypothermia, Hemorrhagic Shock and Resuscitation in Pigs / W. Z. Martini [et al.] // J. Trauma. – 2008. – Vol. 65. – P. 535-543.
Àäðåñ äëÿ êîððåñïîíäåíöèè:
443087, Ðîññèéñêàÿ Ôåäåðàöèÿ, ã. Ñàìàðà, Ñòàðà-Çàãîðà, ä. 147 êâ. 66,
e-mail: yarovenko_galina@mail.ru
ßðîâåíêî Ã.Â.
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