Whole-body cryotherapy (WBC) is a highly effective treatment method of a number of serious diseases. The therapeutic effect of WBC is achieved by stimulating cold receptors of the patient's skin, which provide supercooling of the skin surface to the level of À2°C. To achieve such a temperature of the skin surface, it is necessary to ensure heat removal with intensity not less than 3500 W/m 2. Such a heat flux can remove gas with the temperature not higher than À130°C. Procedures lasting less than 2 minutes do not form therapeutic effect. Procedures lasting more than 3 minutes are dangerous for the patient's health. WBC procedures are carried out in single-and multi-seat devices. Due to the compact placement of the patient in the WBC area, the share of useful heat load on the cryostatting system is up to 70%. In multi-seat installations, the useful heat load share is not more than 50%. During the WBC procedure, consumption of liquid nitrogen per patient is 3.77 kg. For the effective use of WBC technology, it is necessary to determine the general requirements for the power of cooling systems and the temperature of cryostatting of the WBC area.
Ярославский государственный медицинский университет, г. Ярославль ГАУЗ ЯО КБ СМП им. Н.В. Соловьёва, г. ЯрославльПроведен ретроспективный анализ данных 540 пациентов, получивших лечение в отделении хирургии кисти, ГАУЗ ЯО КБ СМП им. Н.В. Соловьёва (г. Ярославль) по поводу травм дистальных фаланг пальцев кисти, а также данных, полученных из Территориального Фонда обязательного медицинского страхования Ярославской области (ЯО) по лечению повреждений кончиков пальцев кисти в ЯО за период с 2010 по 2015 г., с целью изучения структуры указанных травм, тактики хирургического лечения и разработки практи-ческих рекомендаций для оптимизации исходов лечения.Ключевые слова: дистальная фаланга, ноготь, травма кончика пальца, лоскуты, реплантация.We performed a retrospective analysis of findings of 540 patients who received treatment in the Department of Hand Surgery of N.V. Soloviyov Hospital of Emergency Care (Yaroslavl) due to distal phalangeal trauma of fingers during the period between 2010 and 2015, as well as analysis of data of the fingertip injuries' treatment from the Yaroslavl Regional Territorial Fund of Obligatory Medical Insurance during the same time-period. The aim of the study was the investigation of structure of these injuries, their surgical treatment, and the development of practical recommendations for optimization of treatment outcomes.
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