ABSTRACT
Bacteriological analysis was conducted in 136 patients with an acute purulent cholangitis (APCH). The APCH causes were: choledocholithiasis--in 40 (29.9%) patients, coexistence of a common biliary duct stricture and choledocholithiasis--in 39 (28.7%), compression of external biliary ducts by the oedematous pancreatic head in secondary pancreatitis--in 15 (11%), pericholedocheal lymphadenitis--in 3 (2.2%).
Subject(s)
Bile/microbiology , Cholangitis/microbiology , Choledocholithiasis/microbiology , Common Bile Duct/microbiology , Constriction, Pathologic/microbiology , Pancreatitis/microbiology , Acute Disease , Cholangitis/pathology , Cholangitis/surgery , Choledocholithiasis/pathology , Choledocholithiasis/surgery , Common Bile Duct/pathology , Common Bile Duct/surgery , Constriction, Pathologic/pathology , Constriction, Pathologic/surgery , Enterobacter aerogenes/growth & development , Enterobacter aerogenes/isolation & purification , Enterococcus faecalis/growth & development , Enterococcus faecalis/isolation & purification , Escherichia coli/growth & development , Escherichia coli/isolation & purification , Gram-Negative Bacterial Infections/microbiology , Gram-Negative Bacterial Infections/pathology , Gram-Negative Bacterial Infections/surgery , Gram-Positive Bacterial Infections/microbiology , Gram-Positive Bacterial Infections/pathology , Gram-Positive Bacterial Infections/surgery , Humans , Klebsiella/growth & development , Klebsiella/isolation & purification , Mesenteric Lymphadenitis/microbiology , Mesenteric Lymphadenitis/pathology , Mesenteric Lymphadenitis/surgery , Pancreas/microbiology , Pancreas/pathology , Pancreas/surgery , Pancreatitis/pathology , Pancreatitis/surgery , Proteus/growth & development , Proteus/isolation & purification , Pseudomonas aeruginosa/growth & development , Pseudomonas aeruginosa/isolation & purification , Retrospective StudiesABSTRACT
Processes of apoptosis and necrosis of peripheral neutrophils were investigated in 43 patients, operated on for an acute abdominal organs diseases on the first and fourth postoperative days. Changes of apoptosis and necrosis processes in peripheral neutrophils in dynamics were established. Unfavorable course of early postoperative period in patients with initial high and average risk of postoperative peritonitis occurrence was accompanied by shift in necrosis/apoptosis ratio towards necrosis of peripheral neutrophils.
