Subject(s)
Intestine, Small/blood supply , Ischemia/physiopathology , Adolescent , Adult , Arteriosclerosis/diagnosis , Arteriosclerosis/physiopathology , Chronic Disease , Diagnosis, Differential , Female , Humans , Ischemia/diagnosis , Male , Mesenteric Artery, Superior/physiopathology , Mesenteric Vascular Occlusion/diagnosis , Mesenteric Vascular Occlusion/physiopathology , Middle AgedABSTRACT
The study was performed of acute nonocclusive ischemic intestinal disorders in 47 patients with etiologically heterogenic diseases: myocardial infarction, shock, essential hypertension, acute cardiovascular insufficiency, systemic vasculitis, psychoemotional stress. Pathogenetic mechanisms underlying acute intestinal disturbances in the absence of occlusions were found similar. The leading of these mechanisms is believed defective visceral microcirculation.
Subject(s)
Intestines/blood supply , Ischemia , Acute Disease , Humans , Ischemia/diagnosis , Ischemia/etiology , MicrocirculationABSTRACT
The results of morphologic examination of the small bowel mucosa of 32 patients with the ischemic disease of the alimentary organs provoked by stenosis of a. iliaca are analyzed. The diagnosis was confirmed angiographically and in the course of operation. Aspiration biopsy of the jejunum was performed by means of Ts. G. Masevich's sound. Chronic intestinal ischemia provokes the development of the atrophic changes in the mucosa with the decrease of its thickness due to the lowering of the height of its villi. The number of the goblet cells is increasing as well as the cell infiltration, the degenerative changes in the epithelium are observed. These alterations correlate with the degree of both the vessel narrowing and collateral circulation.
Subject(s)
Intestinal Mucosa/pathology , Intestine, Small/pathology , Ischemia/pathology , Adolescent , Adult , Atrophy/pathology , Biopsy, Needle , Chronic Disease , Female , Humans , Intestine, Small/blood supply , Male , Middle AgedSubject(s)
Intestine, Large/blood supply , Ischemia/diagnosis , Aged , Aged, 80 and over , Arteriosclerosis/complications , Arteriosclerosis/diagnosis , Arteriosclerosis/surgery , Chronic Disease , Colitis/diagnosis , Colitis/etiology , Colitis/surgery , Colonoscopy , Female , Humans , Intestine, Large/diagnostic imaging , Intestine, Large/surgery , Ischemia/etiology , Ischemia/surgery , Male , Middle Aged , RadiographySubject(s)
Ambulatory Care/trends , Peptic Ulcer/prevention & control , Absenteeism , Adult , Aged , Ambulatory Care/methods , Antacids/therapeutic use , Combined Modality Therapy , Female , Health Resorts , Humans , Male , Middle Aged , Peptic Ulcer/diagnosis , Peptic Ulcer/epidemiology , Peptic Ulcer/therapy , Remission Induction , Russia , Seasons , Urban PopulationSubject(s)
Alcoholism/complications , Pneumonia/diagnosis , Acute Disease , Adolescent , Adult , Aged , Alcohol Withdrawal Delirium/diagnosis , Humans , Male , Middle Aged , Pneumonia/complications , Sputum/microbiologyABSTRACT
The overwhelming part of patients with acute pneumonias are treated at home by district internists (only 10.2% of the sick was admitted to hospitals). Early disease diagnosis, adequate selection of patients who need hospitalization, adequacy of the treatment, control over rehabilitation, wise decision as to the time of reporting to work, and efficient dispensarization largely depend on the activities of district internists. Considerable reserves for improving this trend in the activities of polyclinics have been revealed.
