Purpose. To analyze the clinical picture of the disease, diagnostic criteria and treatment tactics for girls with torsion of the uterus for 20162018 in the Childrens Republican Clinical Hospital in Saransk. Materials and methods of the research: the study included 16 girls who were examined and treated at the state budgetary health institution of the Republic of Mordovia, the Saransk Childrens Republican Clinical Hospital. Results. The largest number of torsions was found in patients aged 8 to 12 years. In 69% of cases, girls with this pathology lived in the city, 31% in rural areas. In the first 12 hours from the onset of the disease, most patients, namely 9 patients who were worried about nausea, vomiting, fever, pain on the side of the lesion, came to the emergency room. On examination, 5 patients showed a positive symptom of peritoneal irritation, in 2 it was doubtful, and in 6 negative. During the diagnosis, it was revealed that the right appendage is affected more often than the left. The possibility of preserving obviously unviable uterine appendages on the basis of ultrasound and intraoperative data is described, as well as further tactics of conservative management of girls with torsions are presented. Conclusion. Removal of the uterine appendages was performed in cases of congenital torsions with necrosis, torsions with anomalies of development and necrosis of the appendages, as well as with a duration of torsion and necrosis of more than 5 days. In other cases, even with severe signs of malnutrition, organ-preserving operations were performed
Relevance. Hemangiomas are the most common variety among tumors of the skin and soft tissues in children. The number of patients with this pathology is currently increasing. There are many methods to therapy hemangiomas in children. Currently, such drugs as Propranolol and Kenalog are widely used in the treatment of this pathology. Aim. Study the effect of β - blockers and the preparation of Kenalog on the tissues of the experimental model of hemangioma with simultaneous introduction. Materials and methods. For the experimental study, 20 live chickens were used. The histological structure of the vascular or capillary zone of the crest of the chicken resembles the human angioma. All chickens were divided into 4 groups of 5 individuals. Observing the general condition of chickens, macroscopic and histological examination of the crest of the hens were carried out. Results and conclusions. By the 15th day, all the chickens from the experimental group had died presumably because of massive vascular thrombosis. According to the result given above, simultaneous ingestion of β-blockers and interstitial administration of the Kenalog product are not recommended because of the possibility of thrombus formation and a high probability of death.
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