Assuntos
Analgesia por Acupuntura/métodos , Pontos de Acupuntura , Analgésicos/administração & dosagem , Doenças dos Genitais Femininos/cirurgia , Dor Pós-Operatória/prevenção & controle , Extratos Placentários/administração & dosagem , Adolescente , Adulto , Feminino , Humanos , Injeções Subcutâneas , Pessoa de Meia-Idade , Dor Pós-Operatória/etiologia , SuspensõesRESUMO
The paper presents the results from examinations of morphological changes in the lung of 51 persons who died from drug-induced anaphylactic shock at the age of 6 months to 67 years. The patients died several minutes to 7-10 days following drug administration. The causes of the shock were administrations of antibiotics, novocain (procaine hydrochloride), glucose, radiopaque agents, plasma-substituting solutions, protein hydrolysates, and other substances. Forty-nine persons died after parenteral drug administration. The most frequent concurrent conditions were gastrointestinal and respiratory diseases and pregnancy. A clinical and morphological analysis of the material enabled the authors to single out 6 types of drug-induced anaphylactic shock: asphyxial, bronchospasmic, hemodynamic, cerebral, abdominal and a variant with prevalent pulmonary edema. Typical characteristics of pulmonary alterations are described in each type of the shock.
Assuntos
Anafilaxia/induzido quimicamente , Hipersensibilidade a Drogas/patologia , Pulmão/patologia , Adolescente , Adulto , Idoso , Anafilaxia/patologia , Anafilaxia/fisiopatologia , Asfixia/induzido quimicamente , Encéfalo/efeitos dos fármacos , Espasmo Brônquico/induzido quimicamente , Criança , Hipersensibilidade a Drogas/fisiopatologia , Feminino , Hemodinâmica/efeitos dos fármacos , Humanos , Pulmão/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Edema Pulmonar/induzido quimicamenteRESUMO
A method for postoperative analgesia is described on 200 patients operated on abdominal organs and anterior abdominal wall. The technique of pharmacological stimulation of acupuncture points was used. Placental suspension was used as a stimulator. The method is highly effective, simple in use and cheap. The use of reflex therapy technique ensures early postoperative activation of patients. The method does not affect adversely the functions of the patients' organs and systems and makes it possible to detect early signs of postoperative complications and identify and eliminate cases of addiction to narcotic analgesics, as it is possible to restrain from their use in the postoperative period.
Assuntos
Terapia por Acupuntura , Dor/tratamento farmacológico , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-OperatórioRESUMO
A total of 277 cases with anaphylactic shock due to the use of various antibiotics were analyzed. Anaphylactic shock due to penicillin (38.2 per cent), streptomycin (19.8 per cent), combihation of streptomycin with penicillin (16.9 per cent) or bicillin (15.2 per cent) was most frequent. The causes of the diagnostic mistakes are shown and the clinical signs of the main typical form of the drug anaphylactic shock are descrifed. Four variants of atypical clinical picture of anaphylactic shock, i.e. hemodynamic (collaptoid), asphyctic, cerebral and abdominal were classified. Examples of diagnostic mistakes are presented. It was shown that the drug allergological anamnesis was not always considered in the therapeutic practice.
