[Diagnostics and treatment of patients with closed injuries of abdominal cavity organs in combination with craniocerebral trauma].

The article presents the results of the diagnostics and treatment of 114 patients with closed injuries of abdominal cavity organs combined with craniocerebral trauma. 34 (29.8%) of the patients developed injuries of two and more organs of abdominal cavity. The injured were subjected to complex examination methods including X-ray, ultrasonic diagnostics, endoscopy, laparocentesis, echoencephalography, spinal and pleural puncture, hemodynamic and hematological tests. All the injured were operated on. Infusion of autoblood was done to 32 (28%) of the patients. The analysis of the observation shows that rational use of common and informative diagnostic methods allows diagnosing timely patients with closed injuries of abdominal cavity organs in combination with craniocerebral trauma.

[Diagnosis and treatment of patients with closed injury of abdominal cavity organs in combination with craniocerebral trauma]. / Diagnostika i lechenie bol'nykh s zakrytym povrezhdeniem organov briushnoi polosti v sochetanii s cherepno-mozgovoi travmoi.

Results of diagnosis and treatment of 114 injured persons with closed abdominal trauma, combined with craniocerebral trauma were suggested. In 34 (29.8%) observations the injury of two or more organs of peritoneal cavity was diagnosed, the parenchymatous organs trauma--in 35 (30.7%) and the hole organs trauma--in 45 (39.5%). Cerebral concussion was established in 61 (53.5%) of injured persons, cerebral contusion--in 26 (22.8%), cerebral compression on the contusion background--in 16 (14%) and subdural hematoma--in 11 (9.7%). In all the injured persons the operative intervention was performed. In 32 (28%) the blood of their own was transfused. To reduce the endogenous intoxication severity there were performed the forced diuresis, hemosorption--in 10 (8.7%), the blood ultraviolet irradiation--in 41 (35.9%), intravenous laserotherapy--in 40 (35%). After the operation 14 (12.3%) of patients died. High mortality in combined cranioabdominal trauma is caused by the injury severity, the traumatic shock and mutual burden syndrome presence.

[Extracorporeal ultraviolet irradiation of blood in combined treatment of patients with peritonitis]. / Ekstrakorporal'noe ul'trafioletovoe obluchenie krovi v komplekse lecheniia bol'nykh s peritonitom.

Experience of application of extracorporeal ultraviolet irradiation of the blood (EUIB) in 60 patients with diffuse peritonitis of different etiology was presented. EUIB was conducted in 16-24 hours after performance of operation using apparatus MD--73 M "Izolda". The leukocytic index of intoxication after performance of the EUIB third procedure had reduced by 28.5%. Leukocytic index of shift had reduced after the first procedure performance--by 23.1%, after the third--by more than 50%. T-lymphocytes quantity in 22-24 hours after conduction of the first EUIB procedure had increased by 23.8% and after the third--by 63%. General postoperative mortality after complex treatment conduction using EUIB had constituted 3.3% and without EUIB--6.5%. Duration of treatment of the patients, in whom EUIB was applied, had shortened by 2.6 days.