ABSTRACT
Extracorporal inclusion of the porcine spleen was used in 180 patients with burns of the III A-B-IV degrees with the square area of burns from 25% to 95% of the body surface. The age of the patients was from 1 to 60 years. Critical trauma was diagnosed in 48 patients, supercritical--in 132 patients. The total amount of procedures was 310. Positive dynamics in the course of the burn disease was observed after biohemosorption; decrease of the body temperature, of intoxication delirium symptoms, of respiratory insufficiency. The state of the burn wounds was improved. It was stated that the liver function became better, indicators of nonspecific factors of defense, cellular and humoral links of immunity were increased, a tendency to normalization of lipid metabolism was noted. Positive results were obtained in 43 of 48 with critical trauma. Recovery took place in 52 of 132 patients with supercritical traumas.
Subject(s)
Burns/therapy , Cross Circulation/methods , Hemoperfusion/methods , Spleen , Adolescent , Adult , Animals , Burns/blood , Burns/physiopathology , Child , Child, Preschool , Evaluation Studies as Topic , Humans , Infant , Middle Aged , SwineSubject(s)
Stomach/pathology , Animals , Gastric Mucosa/pathology , Humans , Necrosis , Peptic Ulcer Hemorrhage/etiology , Peptic Ulcer Hemorrhage/pathology , Peptic Ulcer Perforation/etiology , Peptic Ulcer Perforation/pathology , Postgastrectomy Syndromes/etiology , Postgastrectomy Syndromes/pathology , Stomach/blood supply , Vagotomy, Proximal GastricABSTRACT
The diagnosis of hepatic abscesses in outpatients is accurate in hardly half of the cases. The rest of them are commonly taken for: acute cholecystitis, cholecystopancreatitis, pancreatitis, peritonitis, phlebitis of the splenic veins, intestinal obstruction, chronic enterocolitis, pneumonia, pleurisy. Misdiagnosis is usually attributed to the absence of pathognomonic symptoms and atypical course of a hepatic abscess. With right chest and hypochondrium pains of unknown origin and elevation of body temperature, diagnostic efforts should be directed to recognition of a hepatic abscess.
Subject(s)
Liver Abscess/diagnosis , Adult , Budd-Chiari Syndrome/diagnosis , Cholecystitis/diagnosis , Diagnosis, Differential , Diagnostic Errors , Female , Humans , Liver Abscess/surgery , MaleSubject(s)
Hernia, Ventral/surgery , Postoperative Complications/surgery , Humans , Methods , RecurrenceABSTRACT
To combat gastroplegia following vagotomy the authors recommend to perform open novocain blockade of the solar plexus by means of a microcatheter, inserted in the round ligament of the liver. The application of the blockade enabled the authors to manage the postoperative period without a sound, to reduce fluids and electrolytes loss by the organism and to minimize the use of anesthetics.
