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1.
Lik Sprava ; (1): 38-40, 2004.
Article in Russian | MEDLINE | ID: mdl-17051711

ABSTRACT

The preoperative preparation program based upon the experience of treating 465 patients with acute pyonecrotizing diseases of lungs was developed. This system takes into account the stage of the disease (I--septic, II--stabilization, III--remission), endotoxicosis intensity and non respiratory activity of the affected lung (NRAL). The patients of the first group (I stage of the disease) with long-term subclavian vein catheterization were on the special scheme of NRAL correction, their supurative focuses being treated with electrized hypochlorite sodium solution. The system appeared to be effective in managing patients, in the first group--254 patients of which 202 (79,9%) were successfully treated without operation, as for the second group, there were only 52 (40,6%), in the third--26 (31,3%). By limiting and stabilizing the process, the effect of this preoperative preparation program was also seen in other patients. It allowed to perform less traumatic operations (lung resection) in 109 patients of the 179 operated on, with 8,7% of postoperative complications in 8,7% in the first group vers. 18,4% and 24,6% in the second and third, respectively. Thus the above mentioned results show the proposed system to be effective.


Subject(s)
Lung Diseases, Obstructive/surgery , Lung/surgery , Acute Disease , Adult , Combined Modality Therapy , Humans , Lung/pathology , Lung/physiopathology , Lung Diseases, Obstructive/pathology , Lung Diseases, Obstructive/physiopathology , Lung Diseases, Obstructive/therapy , Middle Aged , Respiratory Function Tests/methods , Suppuration , Treatment Outcome
2.
Lik Sprava ; (7): 70-3, 2003.
Article in Russian | MEDLINE | ID: mdl-14723141

ABSTRACT

The carried out researches concerning initial nidus of infection have shown a high rate of anaerobic infection especially in patients with destructive-suppurative lung disease, liver abscess, peritonitis (up to 82.8%). An aerobic-anaerobic association of microbes remarkably often is found in the nidus of infection. We recommend the following preventive scheme to treat patients with different pyoseptic diseases. The scheme is based on the results of our 10 years experience treatment of such patients. It consists of a combination of 2.0 gr. cefoperazoli twice daily, metronidasoli 500 mg. 3 times and amycacini 500 mg twice daily. The intra-arterial or intravenous introduction of the medications was possibly preferred. Having analyzed the results of the treatment of 13,747 patients treated at the center of contaminated surgery, we would note that in 30.2% of the cases were reached excellent results. The above-mentioned scheme of antibacterial therapy with surgical correction of suppurative focus allowed us to reach good results in 45.4%. The satisfactory results of the treatment were achieved in 22.8% of patients. Mortality rate was up to 1.9%.


Subject(s)
Anti-Infective Agents/therapeutic use , Sepsis/drug therapy , Anti-Infective Agents/administration & dosage , Antifungal Agents/administration & dosage , Antifungal Agents/therapeutic use , Catheters, Indwelling , Cephalosporins/administration & dosage , Cephalosporins/therapeutic use , Humans , Infusions, Intra-Arterial , Sepsis/microbiology , Sepsis/surgery , Suppuration , Treatment Outcome
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