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RISS 인기검색어
- 검색키워드
- 저자 : Abdukhakim Khadjibaev (검색결과 4 건)
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우즈베키스탄 국립응급병원에 내원한 낙상환자들의 임상적인 특성
( Abdukhakim Muminovich Khadjibaev ),( Pulat Karimovich Sultanov ),김훈 ( Hoon Kim ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.4
Purpose: study of the mutual influence of the individual anatomical regions damage in patients associated with falls from heights. Methods: 561 medical reports of patients associated with falls from heights admitted to Republican Research Center of Emergency Medicine (RRCEM), in period of 2010-2013 yy, were analyzed retrospectively. Patient’s age range was from 15 to 89. Treatment of these patients held in three stages: period of acute disorders of vital functions; relative stabilization period; stabilization of vital functions. The scope and content of medical diagnostic procedures performed on pre-hospital and intensive care stages. The severity of each injury was scored according to the AIS scale, the total severity of lesions was scored by points due to ISS. Digital material is treated by methods of mathematical statistics. Results: Falls from heights leads to associated injuries for 4 times more than isolated trauma, and increases according to height of fall and falling surface. Patients with TBI+chest trauma, are most serious contingent that has highest mortality and complications (36.8%). TBI+musculoskeletal system trauma are characterized by high blood loss, traumatic shock and fat embolism, forming a vicious circle. Conclusion: in patients associated with falls from heights clinical manifestations of injuries mutual aggravation syndrome will be seen. TBI leads to complication of chest trauma, delayed diagnostics of abdominal and chest trauma, aggravation of coma condition. Developing of high blood loss and fat embolism in musculoskeletal system trauma leads to shock and pulmonary embolism, which increases probability of death in the presence of abdominal or chest trauma, but abdominal trauma or chest trauma has no significant effect on the severity of the musculoskeletal system trauma. [ J Trauma Inj 2015; 28: 248-255 ]
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HCC : PE-051 ; Safety and efficacy of laparoscopic radiofrequency ablation for hepatic malignancies
( Makhmud Malikov ),( Abdukhakim M Khadjibaev ) 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.1
Background: Radiofrequency ablation (RFA) has been accepted as one of treatment options for primary and metastatic liver tumors. As percutaneous RFA has some limitations, laparoscopic RFA (LRFA) has been used as therapeutic alternative for treating hepatic malignancies. Methods: Between March 2006 and September 2009, thirty patients with hepatic malignancies which were contraindicated for resection or percutaneous RFA underwent LRFA. Indication of this procedure was hepatocellular carcinoma (HCC) in 21 patients, metastatic liver tumor in 8 patients, and intrahepatic cholangiocarcinoma in 1 patient. Results: Among 30 patients underwent LRFA, 5 patients underwent the concomitant laparoscopic liver resection. Intraoperative laparoscopic ultrasound detected new malignant lesions in 4 patients (13.3%). A total of 46 lesions were ablated by the LRFA. There was no postoperative mortality. Three-year overall survival rate was 83.7 % in HCC group and 64.3% in metastatic group, respectively. Conclusions: The LRFA for hepatic malignancies proved to be safe and effective treatment. Also this procedure is indicated for lesions which are not amenable the percutaneous RFA or liver resection.
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HCC : PE-051 ; Safety and efficacy of laparoscopic radiofrequency ablation for hepatic malignancies
( Makhmud Malikov ),( Abdukhakim M Khadjibaev ) 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.-
Background: Radiofrequency ablation (RFA) has been accepted as one of treatment options for primary and metastatic liver tumors. As percutaneous RFA has some limitations, laparoscopic RFA (LRFA) has been used as therapeutic alternative for treating hepatic malignancies. Methods: Between March 2006 and September 2009, thirty patients with hepatic malignancies which were contraindicated for resection or percutaneous RFA underwent LRFA. Indication of this procedure was hepatocellular carcinoma (HCC) in 21 patients, metastatic liver tumor in 8 patients, and intrahepatic cholangiocarcinoma in 1 patient. Results: Among 30 patients underwent LRFA, 5 patients underwent the concomitant laparoscopic liver resection. Intraoperative laparoscopic ultrasound detected new malignant lesions in 4 patients (13.3%). A total of 46 lesions were ablated by the LRFA. There was no postoperative mortality. Three-year overall survival rate was 83.7 % in HCC group and 64.3% in metastatic group, respectively. Conclusions: The LRFA for hepatic malignancies proved to be safe and effective treatment. Also this procedure is indicated for lesions which are not amenable the percutaneous RFA or liver resection.
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