Subject(s)
Air Ambulances , Gastrointestinal Hemorrhage/surgery , Transportation of Patients , Acute Disease , Adult , Aged , Emergencies , Female , Gastrointestinal Diseases/complications , Gastrointestinal Diseases/surgery , Gastrointestinal Hemorrhage/etiology , Humans , Male , Middle Aged , Surgical Procedures, Operative/methods , Treatment OutcomeABSTRACT
The long-term results of thymectomy in 85 patients with generalized myasthenia at the age of from 16 to 65 years were studied. The complete recovery was noted in 3.3% of the patients, a good result--in 16.7%, a satisfactory one--in 53.3%. In 26.7% of the patients, the clinical effect was absent. At the late period after the operative intervention, in some of the patients, the impairement in the immunoreactivity of an organism preserved. This caused the recurrences of myasthenia and other autoimmune diseases.
Subject(s)
Immunologic Deficiency Syndromes/etiology , Myasthenia Gravis/surgery , Postoperative Complications/etiology , Thymectomy/adverse effects , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Myasthenia Gravis/etiology , Myasthenia Gravis/immunology , Recurrence , Time FactorsSubject(s)
Myasthenia Gravis/immunology , Thymectomy , Adolescent , Adult , Humans , Immunity , Middle Aged , Myasthenia Gravis/surgeryABSTRACT
Under study was the functional state of the sympathoadrenal system and correlation between its activity and the white blood parameters in 30 patients with ulcer disease of the stomach and duodenum complicated by ulcer perforation, bleeding, peritonitis in the postoperative period. It was found that the complicated ulcer disease was accompanied by an increased functional activity of the sympathoadrenal system which was most pronounced in perforation.
Subject(s)
Adrenal Glands/physiopathology , Duodenal Ulcer/complications , Peptic Ulcer Hemorrhage/physiopathology , Peptic Ulcer Perforation/physiopathology , Stomach Ulcer/complications , Sympathetic Nervous System/physiopathology , Adult , Aged , Duodenal Ulcer/physiopathology , Epinephrine/urine , Humans , Leukocyte Count , Middle Aged , Norepinephrine/urine , Peritonitis/physiopathology , Postoperative Complications/physiopathology , Stomach Ulcer/physiopathologySubject(s)
Bretylium Compounds/therapeutic use , Bretylium Tosylate/therapeutic use , Intestinal Obstruction/drug therapy , Peritonitis/complications , Sympatholytics/therapeutic use , Drug Evaluation , Gastrointestinal Motility/drug effects , Humans , Postoperative Complications/drug therapy , Stimulation, Chemical , Time FactorsABSTRACT
The authors present an analysis of 149 cases of total decompression of the gastrointestinal tract in grave forms of functional intestinal obstruction accompanying peritonitis and acute intestinal obstruction. Special intestinal sounds made of polychlorovinyl were employed, that facilitates considerably the technic of intubation of the bowel as a whole. The authors data evidence that each method of intubation (transnasal, through gastro-or ileostome, etc) has its positive and negative aspects, therefore a selection of the site for introducing the sound should be conditioned by patient's age, the type of pathology and duration of the intubation procedure.
Subject(s)
Intestinal Obstruction/surgery , Intubation, Gastrointestinal/methods , Decompression/methods , Humans , Intestinal Obstruction/mortality , Intubation, Gastrointestinal/instrumentation , Peritonitis/mortality , Peritonitis/surgery , Polyvinyl Chloride , Postoperative CareABSTRACT
It is shown experimentally that an impaired mesenterial blood circulation is of primary importance for development of dynamic intestinal obstruction, that is in contrast with the existing opinion on the primary importance of disorders in the bowel motility. The data obtained were utilized to explain the mechanisms of a stimulating effect of different procedures in combating against dynamic intestinal obstruction, namely an elimination of the suppressive sympathetic effect on abdominal vessels and an increase of the volume blood flow.
