ABSTRACT
The authors describe two lethal outcomes of severe hemorrhagic fever with renal syndrome in spouses aged 50 and 44. A detailed description of clinical symptoms, the results of laboratory and instrumental tests, and possible mechanisms of contamination is given. Cross-sectional photographs of kidneys and hypophyseal hemorrhage, as well as radiograms of renal arteries and right pulmonary blood vessels after post-mortem filling with radiopaque mass are presented.
Subject(s)
Hemorrhagic Fever with Renal Syndrome/genetics , Hemorrhagic Fever with Renal Syndrome/physiopathology , Anti-Bacterial Agents/therapeutic use , Fatal Outcome , Hemorrhagic Fever with Renal Syndrome/drug therapy , Humans , Male , Middle Aged , Severity of Illness IndexABSTRACT
Analysis of the results of treatment of 152 patients with acute cholangitis of benign origin made it possible to substantiate two-stage therapeutic tactics consisting in instrumental decompression at the peak to the disease and a corrective intervention conducted after removal of the clinical manifestations of ascending biliary infection and cholemic intoxication. The two-stage method of treatment of acute cholangitis allowed the frequency of purulent complications of hepatic insufficiency to be reduced and the postoperative mortality to be lowered six fold.
