RESUMEN
The results of complex treatment of 37 patients operated on for the various acute abdominal surgical diseases were presented. Among them 22 patients for locally treated 0.02% antiseptical solution Decametoxin were used. Positively impact clinical course of the diseases reducing their purulent and septic morbidity rate in particular were evidenced separately in the patients operated on for acute necrotic pancreatitis.
Asunto(s)
Antiinfecciosos/uso terapéutico , Compuestos de Decametonio/uso terapéutico , Servicios Médicos de Urgencia , Adulto , Anciano , Colecistectomía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pancreatitis/cirugía , Complicaciones PosoperatoriasRESUMEN
The most important teoretical aspects of the enteral insufficiency syndrome formation in an acute abdominal surgical diseases were suggested. Basing on the treatment results analysis of 19 patients with different abdominal surgical diseases, using hypertonic sorbitol solution, the authors confirm high therapeutic efficacy of the preparation, administration of which have had promoted the intestinal motor function restoration and optimization, as well as adapting action of the preparation in enteral probe nutrition conduction in patients during ealy postoperative period.
Asunto(s)
Nutrición Enteral , Enteroadsorción/métodos , Trastornos Nutricionales/tratamiento farmacológico , Lactato de Sodio/uso terapéutico , Sorbitol/uso terapéutico , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Periodo Posoperatorio , Lactato de Sodio/administración & dosificación , Sorbitol/administración & dosificaciónRESUMEN
The data, obtained as a result of the protective systems state (immunity, hemostasis, organism natural resistance) investigation in 20 patients with complicated course of necrotic pancreatitis, are adduced. There was determined, that the lowering of the oxygen dependent and oxygen independent functions of neutrophils, the lysosomic cationic proteins content correlates significantly with course of diseases severity. High concentration in the blood serum of anti-inflammatory cytokines (the leucocytes depression phenomenon) in combination with the oxygen dependent and oxygen independent function of phagocytes depression constitutes the criterion of complicated and unfavourable course of necrotic pancreatitis. Theoretical substantiation of the results is presented.
Asunto(s)
Pancreatitis Aguda Necrotizante , Adulto , Péptidos Catiónicos Antimicrobianos , Proteínas Sanguíneas/metabolismo , Citocinas/inmunología , Femenino , Hemostasis/fisiología , Humanos , Masculino , Persona de Mediana Edad , Neutrófilos/metabolismo , Oxígeno/metabolismo , Pancreatitis Aguda Necrotizante/diagnóstico , Pancreatitis Aguda Necrotizante/inmunología , Pancreatitis Aguda Necrotizante/metabolismo , Índice de Severidad de la EnfermedadRESUMEN
While application of dynamical omentopancreatopexy for the treatment of necrotic pancreatitis there were noted the purulent and visceral complications frequency lowering from 3.34 in every patient--while the closed interventions usage down to 2.02 and of mortality--from 57.2 down to 33% accordingly.
Asunto(s)
Epiplón/cirugía , Páncreas/cirugía , Pancreatitis Aguda Necrotizante/cirugía , Procedimientos Quirúrgicos Operativos/métodos , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios RetrospectivosRESUMEN
The literary data and own observation of pulmonary microlithiasis, an extremely rare disease, are presented. The results of investigation of local immunity in patients were depicted.
Asunto(s)
Cálculos/diagnóstico , Enfermedades Pulmonares/diagnóstico , Alveolos Pulmonares/patología , Biopsia con Aguja , Broncoscopía , Fibrosis , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Úlcera Duodenal/complicaciones , Enfermedades Pancreáticas/etiología , Conductos Pancreáticos , Colangiografía , Drenaje , Úlcera Duodenal/diagnóstico por imagen , Úlcera Duodenal/cirugía , Humanos , Masculino , Persona de Mediana Edad , Enfermedades Pancreáticas/diagnóstico por imagen , Enfermedades Pancreáticas/cirugía , Conductos Pancreáticos/cirugíaRESUMEN
A test group of 40 patients and a control group of 20 matched controls with pulmonary cancer and suppuration were exposed to preoperative and postoperative electromyostimulation (EMS) with adjuvant intravascular laser radiation of the blood (ILRB) to prevent thromboembolism versus conventional chemotherapy, respectively. At the preoperative examination all the patients exhibited secondary immunodeficiency. It was found that introduction of EMS and ILRB corrects immunity and activates fibrinolysis. A positive trend in coagulation is also attributed to immunomodulating effects of EMS and ILRB.
Asunto(s)
Sangre/efectos de la radiación , Terapia por Estimulación Eléctrica , Rayos Láser , Enfermedades Pulmonares/terapia , Neoplasias Pulmonares/terapia , Anciano , Empiema Pleural/sangre , Empiema Pleural/inmunología , Empiema Pleural/terapia , Humanos , Síndromes de Inmunodeficiencia/terapia , Enfermedades Pulmonares/sangre , Enfermedades Pulmonares/inmunología , Neoplasias Pulmonares/sangre , Neoplasias Pulmonares/inmunología , Masculino , Persona de Mediana Edad , Cuidados Posoperatorios , Cuidados Preoperatorios , Supuración , Tromboembolia/prevención & controlRESUMEN
The results of treatment of 176 patients with sepsis at the department of urgent surgery in 1985-1990 are discussed. The authors suggest a stage complex program of acute surgical sepsis prevention, which consists of purposeful measures applied in the pre-, intra-, and postoperative period and includes the following recommendations: conduction of skin tests, preoperative injection of antibiotics, preoperative immunization of patients, immunological methods for the choice of antibiotics, methods for rational immunologic correction, phagotherapy. Besides, the authors developed and introduced into practice an individual method for prognosticating the course and outcome of acute surgical sepsis based on E. V. Gubler's (1978) mathematical method. It is concluded that the suggested methods are very effective, with their application the sepsis mortality rate reduced from 75% to 37.5%, i.e. by half.
Asunto(s)
Procedimientos Quirúrgicos Operativos/efectos adversos , Infección de la Herida Quirúrgica/etiología , Enfermedad Aguda , Colecistectomía/efectos adversos , Colecistitis/cirugía , Urgencias Médicas , Femenino , Humanos , Cuidados Intraoperatorios , Matemática , Persona de Mediana Edad , Cuidados Posoperatorios , Cuidados Preoperatorios , Pronóstico , Infección de la Herida Quirúrgica/prevención & controlAsunto(s)
Carcinoma de Células Escamosas/diagnóstico , Hamartoma/diagnóstico , Neoplasias Pulmonares/diagnóstico , Neoplasias Primarias Múltiples/diagnóstico , Carcinoma de Células Escamosas/cirugía , Hamartoma/cirugía , Humanos , Neoplasias Pulmonares/cirugía , Masculino , Persona de Mediana Edad , Neoplasias Primarias Múltiples/cirugíaAsunto(s)
Enzimas/efectos de la radiación , Rayos Láser , Animales , Relación Dosis-Respuesta en la Radiación , Metabolismo Energético/efectos de la radiación , Activación Enzimática/efectos de la radiación , Enzimas/metabolismo , Humanos , Oxidación-Reducción/efectos de la radiación , Factores de TiempoAsunto(s)
Arteriosclerosis Obliterante/radioterapia , Enfermedad Coronaria/radioterapia , Vasos Coronarios/efectos de la radiación , Modelos Animales de Enfermedad , Eritrocitos/efectos de la radiación , Rayos Láser , Pierna/irrigación sanguínea , Animales , Arterias/efectos de la radiación , Arteriosclerosis Obliterante/sangre , Enfermedad Coronaria/sangre , Eritrocitos/fisiología , Cobayas , Humanos , Técnicas In Vitro , Terapia por Láser , Dosis de RadiaciónRESUMEN
Resulting from the electrocardiographic investigations in dynamics, in 7 patients with purulent-inflammatory complications of surgical diseases of the abdominal organs, the positive effect of intravascular laser irradiation of the blood on the function of cardiovascular system is shown.
Asunto(s)
Sangre/efectos de la radiación , Enfermedades del Sistema Digestivo/radioterapia , Corazón/efectos de la radiación , Hemodinámica/efectos de la radiación , Terapia por Láser , Enfermedades del Sistema Digestivo/fisiopatología , Electrocardiografía , Femenino , Corazón/fisiopatología , Helio , Hemodinámica/fisiología , Humanos , Masculino , NeónRESUMEN
On the basis of the analysis of changes in the immunologic and biochemical parameters, the rational conditions of intravascular laser irradiation of the blood in treatment of purulent-septic diseases is suggested.