ABSTRACT
The traumatic disease course was studied up in 287 injured persons with polytrauma and shock, 195 (67.9%) of them were admitted to hospital with continuing internal (noncontrolled) hemorrhage. The traumatic disease outcome was analyzed depending on the medical aid volume, delivered on prehospital stage, its duration, the arterial pressure level while admittance to the hospital and the blood loss volume. Maximal lethality was noted while nonconducting of infusion therapy on prehospital stage, as well as in aggressive infusion conduction with early normalization of arterial pressure; optimal outcome was achieved using intensive therapy before surgical hemostasis conduction while application of the hypotensive resuscitation regimen with minimal tissue perfusion and in systolic arterial pressure in the 80-90 mm Hg range.
Subject(s)
Multiple Trauma/therapy , Shock, Hemorrhagic/therapy , Shock, Traumatic/therapy , Adolescent , Adult , Aged , Aged, 80 and over , Arterial Pressure , Female , Fluid Therapy , Humans , Male , Middle Aged , Multiple Trauma/mortality , Multiple Trauma/surgery , Perfusion , Preoperative Period , Rehydration Solutions/therapeutic use , Retrospective Studies , Shock, Hemorrhagic/mortality , Shock, Hemorrhagic/surgery , Shock, Traumatic/mortality , Shock, Traumatic/surgery , Survival Analysis , Time FactorsABSTRACT
For 10 years, 26 patients underwent treatment for complications caused by presence in the stomach and intestine of the foreign bodies with low radio-opacity and echogenicity. All the patients were operated on. At operation, a cause of the disease was established: in 17 cases--a fish bone, in 5--a small chicken bone, in 1--a conifer needle, in 2--a wooden chip, in 1--a home-made toothpick.
Subject(s)
Foreign Bodies/diagnosis , Intestines/diagnostic imaging , Stomach/diagnostic imaging , Adult , Female , Foreign Bodies/complications , Foreign Bodies/surgery , Humans , Intestines/surgery , Male , Middle Aged , Radiography , Stomach/surgery , UltrasonographySubject(s)
Escherichia coli Infections/complications , Lymphadenitis/complications , Paronychia/complications , Staphylococcal Skin Infections/complications , Acute Disease , Aged , Arm , Combined Modality Therapy , Escherichia coli Infections/therapy , Female , Humans , Lymphadenitis/therapy , Paronychia/therapy , Staphylococcal Skin Infections/therapyABSTRACT
The results of treatment of 39 patients with complications caused by presence of foreign bodies in the stomach and intestine are presented. Conservative treatment was performed in detection of a single foreign body with a length up to 10 cm. The foreign body staying at the same place for three days should serve an indication for operation. The emergency operation should be performed in presence of multiple foreign bodies in the stomach, when their length is more than 10 cm. and in development of complications--perforation of a hollow organ, development of hemorrhage, abscess, or infiltrate in the abdominal cavity.
