On the casuistry of diphtheria of the nose and skin
- Authors: Khodanov I.I.
- Issue: Vol 32, No 1 (1932)
- Pages: 54-56
- Section: Articles
- URL: https://bakhtiniada.ru/kazanmedj/article/view/80286
- DOI: https://doi.org/10.17816/kazmj80286
- ID: 80286
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Abstract
At the beginning of October 1931, we had to observe a rare case of a combination of nasal and skin diphtheria in a five-year-old child in the Kain city outpatient clinic.
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##article.viewOnOriginalSite##About the authors
I. I. Khodanov
Author for correspondence.
Email: info@eco-vector.com
Russian Federation
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Rice. 1. Skin nodule along the line of the proposed incision and soaking of the subcutaneous tissue to aponeurosis.
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Rice. 2. Injection under the aponeurosis and into the muscles.
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Rice. 3 M. rectus is cut. In the lower outer corner of the wound, fibers are incised. The rectus sheath was opened. The preperitoneal tissue is impregnated with injections under the posterior wall of the vagina.
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Rice. 4. After cutting the n lower-outer corner of the wound m, obliqui intern! the preperitoneal tissue is more thoroughly impregnated.
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Rice. 5. After opening the abdominal cavity and at the end of the anesthesia of the peritoneum, a loop of fl was removed. hepaticae coli to soak the entire mesentery.
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Rice. 6. Mesenteric infiltration fl. coli hcpaticae is visible in the upper floor of the abdomen in ru-iorus'a and duodenum, shining through here through the upper mesentery plate. By repeated injections under the lower edge of the duodeni, it increases with the expectation of informing it of progress towards the area pl. Solaris. Injection of the upper edge of the duodeni sends fluid into the formation of the same infiltrate. Subserous impregnation of the bladder and incision of the serous membrane at the beginning of the ectomy. The whole picture as a whole illustrates the favorable exposure of the area prepared by the infiltration laid down here.
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Rice. 7. Twisted in a spiral d. cysticus and ligation of the stump.
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Rice. 8. Implantation of a free omentum in the bed of the bladder and peritonization of the widespread serous membrane.
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Rice. 9. Drainage siphon-manometer, a — ductus hepaticus, b — duodenum, c — drainage-siphon, d — drainage-manometer.
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