ABSTRACT
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.
Subject(s)
Anti-Infective Agents/therapeutic use , Decamethonium Compounds/therapeutic use , Emergency Medical Services , Adult , Aged , Cholecystectomy , Female , Humans , Male , Middle Aged , Pancreatitis/surgery , Postoperative ComplicationsABSTRACT
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.
Subject(s)
Enteral Nutrition , Enterosorption/methods , Nutrition Disorders/drug therapy , Sodium Lactate/therapeutic use , Sorbitol/therapeutic use , Adult , Female , Humans , Male , Middle Aged , Postoperative Period , Sodium Lactate/administration & dosage , Sorbitol/administration & dosageABSTRACT
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.
Subject(s)
Pancreatitis, Acute Necrotizing , Adult , Antimicrobial Cationic Peptides , Blood Proteins/metabolism , Cytokines/immunology , Female , Hemostasis/physiology , Humans , Male , Middle Aged , Neutrophils/metabolism , Oxygen/metabolism , Pancreatitis, Acute Necrotizing/diagnosis , Pancreatitis, Acute Necrotizing/immunology , Pancreatitis, Acute Necrotizing/metabolism , Severity of Illness IndexABSTRACT
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.
Subject(s)
Omentum/surgery , Pancreas/surgery , Pancreatitis, Acute Necrotizing/surgery , Surgical Procedures, Operative/methods , Adult , Aged , Female , Humans , Male , Middle Aged , Retrospective StudiesSubject(s)
Duodenal Ulcer/complications , Pancreatic Diseases/etiology , Pancreatic Ducts , Cholangiography , Drainage , Duodenal Ulcer/diagnostic imaging , Duodenal Ulcer/surgery , Humans , Male , Middle Aged , Pancreatic Diseases/diagnostic imaging , Pancreatic Diseases/surgery , Pancreatic Ducts/surgeryABSTRACT
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.
Subject(s)
Calculi/diagnosis , Lung Diseases/diagnosis , Pulmonary Alveoli/pathology , Biopsy, Needle , Bronchoscopy , Fibrosis , Humans , Male , Middle AgedABSTRACT
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.
Subject(s)
Blood/radiation effects , Electric Stimulation Therapy , Lasers , Lung Diseases/therapy , Lung Neoplasms/therapy , Aged , Empyema, Pleural/blood , Empyema, Pleural/immunology , Empyema, Pleural/therapy , Humans , Immunologic Deficiency Syndromes/therapy , Lung Diseases/blood , Lung Diseases/immunology , Lung Neoplasms/blood , Lung Neoplasms/immunology , Male , Middle Aged , Postoperative Care , Preoperative Care , Suppuration , Thromboembolism/prevention & controlABSTRACT
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.
Subject(s)
Surgical Procedures, Operative/adverse effects , Surgical Wound Infection/etiology , Acute Disease , Cholecystectomy/adverse effects , Cholecystitis/surgery , Emergencies , Female , Humans , Intraoperative Care , Mathematics , Middle Aged , Postoperative Care , Preoperative Care , Prognosis , Surgical Wound Infection/prevention & controlSubject(s)
Arteriosclerosis Obliterans/radiotherapy , Coronary Disease/radiotherapy , Coronary Vessels/radiation effects , Disease Models, Animal , Erythrocytes/radiation effects , Lasers , Leg/blood supply , Animals , Arteries/radiation effects , Arteriosclerosis Obliterans/blood , Coronary Disease/blood , Erythrocytes/physiology , Guinea Pigs , Humans , In Vitro Techniques , Laser Therapy , Radiation DosageABSTRACT
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.
Subject(s)
Blood/radiation effects , Digestive System Diseases/radiotherapy , Heart/radiation effects , Hemodynamics/radiation effects , Laser Therapy , Digestive System Diseases/physiopathology , Electrocardiography , Female , Heart/physiopathology , Helium , Hemodynamics/physiology , Humans , Male , NeonSubject(s)
Mycoses , Postoperative Complications , Adult , Antifungal Agents/therapeutic use , Candidiasis/drug therapy , Candidiasis/etiology , Humans , Male , Middle Aged , Mycoses/drug therapy , Mycoses/etiology , Postoperative Complications/drug therapy , Postoperative Complications/etiology , Risk FactorsABSTRACT
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.
