RESUMEN
Under analysis is an experience with treatment of 178 patients with thoracoabdominal wounds. The authors have developed a rational curative methods and original thoracoscopic techniques, which allowed to considerably reduce the amount of thoracotomies. Thoracoscopy was performed in 157 (88%) of 178 patients. Indications for thoracotomy were established in 7 patients, in 19 patients only drainage of the pleural cavity was made. Curative thoracoscopy was used in 131 patients, in 60 of them ultrasonic glue hermetization of the lung wound was made, 36 patients had laser photocoagulation of the lung wound, 21 patients had plasma coagulation of pleuro-pulmonary defects, in 14 patients--coagulated hemothorax was removed. Clinical effectiveness of thoracoscopic techniques was more than 90%. Thoracotomy was performed in 28 (15%) patients, in 11 patients it was supplemented with diaphragmotomy. Laparotomy was performed in 167 patients. Lethality was 6.8%.
Asunto(s)
Traumatismos Abdominales/cirugía , Coagulación con Láser , Traumatismo Múltiple/cirugía , Traumatismos Torácicos/cirugía , Toracoscopía/métodos , Terapia por Ultrasonido , Traumatismos Abdominales/complicaciones , Adulto , Urgencias Médicas , Femenino , Hemotórax/etiología , Hemotórax/cirugía , Humanos , Pulmón/cirugía , Lesión Pulmonar , Masculino , Traumatismo Múltiple/complicaciones , Neumotórax/etiología , Neumotórax/cirugía , Traumatismos Torácicos/complicacionesAsunto(s)
Viscosidad Sanguínea , Pierna/irrigación sanguínea , Tromboembolia/fisiopatología , Adulto , Anciano , Velocidad del Flujo Sanguíneo , Proteínas Sanguíneas/análisis , Femenino , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/fisiopatología , Síndrome , Factores de TiempoRESUMEN
The initial hemorheologic values and their dynamics in various periods after reconstructive operations were studied in 70 patients with atherosclerosis of the abdominal aorta. The rheologic blood properties proved to be considerably changed in atherosclerotic affection of the abdominal aorta. The causes of the hemorheologic disorders in this pathological condition are marked changes in regional hemodynamics and the character of the blood flow and significant disorders of protein, lipid and carbohydrate metabolism. Study of the effect of aspirin on the rheologic properties of blood in this contingent of patients showed the expediency of its use both in preoperative management and in the postoperative period. Aspirin reduces significantly the degree of blood platelet aggregation and the seeming viscosity of blood.