RESUMO
Based upon an analysis of results of 1210 operations and 160 laparoscopies in children for "acute appendicitis" the authors make a conclusion that about 20% of children were subjected to unnecessary appendectomies. Laparoscopy allows to make the correct diagnosis in the absolute majority of children with obscure clinical picture of acute appendicitis and to choose a rational medical treatment.
Assuntos
Abdome Agudo/diagnóstico , Apendicite/diagnóstico , Doença Aguda , Adolescente , Apendicite/cirurgia , Criança , Diagnóstico Diferencial , Humanos , LaparoscopiaRESUMO
The analysis of case records of 24 injuried with crush syndrome is presented. The conclusion is drawn that it is necessary to start the treatment of such cases immediately after the removal of the traumatizing factor. These cases should be concentrated in medical institutions experienced in the use of program hemodialysis. The authors are convinced that hemodialysis should be applied when the organic nature of renal failure is revealed at the stage of oligoanuria. It has been shown that the fasciotomy incisions do not decrease the pronunciation of uremic intoxication, but they become the inlets for purulent infection in the injured extremity.