Asunto(s)
Manejo de la Enfermedad , Laparoscopía/métodos , Páncreas/cirugía , Pancreatitis Aguda Necrotizante/cirugía , Toma de Decisiones Clínicas/métodos , Humanos , Laparoscopía/instrumentación , Páncreas/diagnóstico por imagen , Páncreas/patología , Pancreatitis Aguda Necrotizante/diagnóstico por imagen , Pancreatitis Aguda Necrotizante/patología , Índice de Severidad de la Enfermedad , Tomografía Computarizada por Rayos X , UltrasonografíaRESUMEN
Literature data and own experience of the treatment complications, occurring after tho- racic operations, using sternotomy access, were presented. Special attention was drawn to postoperative sternomediastinitis - most frequent infectious complication. Measures for the sternomediastinitis prophylaxis, methods of its diagnosis and treat- ment were presented.
Asunto(s)
Antiinfecciosos Locales/uso terapéutico , Mediastinitis/tratamiento farmacológico , Mediastino/cirugía , Procedimientos de Cirugía Plástica/métodos , Esternotomía/métodos , Esternón/cirugía , Humanos , Mediastinitis/etiología , Mediastinitis/patología , Mediastinitis/cirugía , Complicaciones Posoperatorias , Periodo Posoperatorio , Esternón/efectos de los fármacos , Mallas Quirúrgicas , Engrapadoras QuirúrgicasRESUMEN
Interrelationship between dielectric parameters and level of ATPH before and during ischemia, as well as with indices of survival after elimination of strangulation, was estimated on a simulation model of strangulation ileus in rats. The data obtained permit to suppose, that parameter tg δm may be used as effective noninvasive criterion of diagnosis in real time for estimation of the intestinal wall state in strangulation. Resection of the infringed intestine without elimination of strangulation is necessary in tg δm less than 2.20, in tg δm more than 2.36 the elimination of infringement is indicated, because there exist possibility to restore intestinal function after ischemic-reperfusion injury. Tactics of treatment in intermediate meanings of tg δm is not determined, but its measurement before reperfusion may help in estimation of a small intestine viability and choice of surgical tactics in its ischemia.
Asunto(s)
Adenosina Trifosfato/metabolismo , Técnicas de Diagnóstico del Sistema Digestivo/instrumentación , Ileus/diagnóstico , Intestino Delgado/patología , Daño por Reperfusión/diagnóstico , Animales , Modelos Animales de Enfermedad , Impedancia Eléctrica , Ileus/metabolismo , Ileus/patología , Intestino Delgado/metabolismo , Masculino , Ratas , Ratas Wistar , Daño por Reperfusión/metabolismo , Daño por Reperfusión/patologíaRESUMEN
There were studied some mechanisms of the effect realization of the extremely high frequency electromagnet irradiation, including modification of the organism immune status as an answer on the irradiation action, manifested by mobilization of ripe CD4+ and CD8+ T-lymphocytes, the interleukins (IL) concentration enhancement, including, IL-1, IL-10, as well as the levels lowering of IL-6 and C-reactive protein in the blood serum. There was established, that using a switching on the intermediate signal systems it is possible to induce the directed (antiinflammatory) answer of organism towards the effective parameters of electromagnet irradiation.
Asunto(s)
Campos Electromagnéticos , Magnetoterapia/métodos , Pancreatitis/inmunología , Pancreatitis/terapia , Enfermedad Aguda , Animales , Relación CD4-CD8 , Linfocitos T CD4-Positivos/citología , Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD8-positivos/citología , Linfocitos T CD8-positivos/inmunología , Modelos Animales de Enfermedad , Técnica del Anticuerpo Fluorescente Indirecta , Interleucina-1/sangre , Interleucina-10/sangre , Interleucina-6/sangre , Magnetoterapia/instrumentación , Masculino , Microscopía Fluorescente , Pancreatitis/sangre , RatasRESUMEN
The dynamics of changes of some coagulogram indices under the influence of electromagnet irradiation of extremely high frequencies was studied in rats in conditions of experimental pancreonecrosis. Irradiation of abdominal cavity in animals, using electromagnet irradiation with the 6.5 mm wave length, reduces hypercoagulation shifts essentially and raises the plasm anticoagulant and fibrinolytic activity.
