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 , UltrasonographyABSTRACT
In a period of 5 years 790 patients underwent operation in the surgical clinic for cholelithiasis. Relaparotomy had to be conducted on 23 (2.9%) patients because intraabdominal complications occurred: escape of bile from the gallbladder bed and choledochus in its drainage, and development of peritonitis in 13 patients, pancreatitis in 2 patients, abdominal abscesses in 5, bleeding into the free abdominal cavity and the gastrointestinal tract in 3 patients. The diagnosis of complications is difficult. The developing symptoms are masked by infusion and antibiotic therapy, injection of narcotics, intestinal paresis. A complex approach is conducive to the establishment of the diagnosis: one doctor in charge, intensive surveillance of the patient, study of the results of laboratory and clinical methods of examination in dynamics. The indications for operation should be considered from the very onset in some cases. Nine (39.1%) patients died after relaparotomy.
Subject(s)
Cholelithiasis/surgery , Cholecystectomy/adverse effects , Female , Humans , Laparotomy , Male , Middle Aged , ReoperationABSTRACT
The analysis of the results of treatment of 137 patients with acute hemorrhoids was carried out. A typical hemorrhoidal analysis was noted in 83.5% of the patients. Operated on were 129 (94.1%) patients, including 27 (20.9%)--at day 3-4 after hospitalization. Duration of hospital stay of the patients operated on after short-term preparation was 9.2 days. This figure is 4.1 days less than that in patients operated on in a delayed order.
