RESUMO
Conducted a comprehensive examination and surgical treatment for acute obstruction of the small intestine (SI). It is established that, both before and after surgery to restore patency of SI is a significant violation of the functional state of the liver. This became the basis for the appointment of antioxidant therapy in the complex standard treatment. Using the solution reamberin promotes effective correction protein syntesis function disorders of the liver, reduces the severity of inflammation and stagnation in the hepatocytes, the severity of endogenous intoxication and the incidence of postoperative complications.
Assuntos
Antioxidantes/uso terapêutico , Obstrução Intestinal/fisiopatologia , Intestino Delgado , Fígado/fisiopatologia , Meglumina/análogos & derivados , Succinatos/uso terapêutico , Adulto , Idoso , Idoso de 80 Anos ou mais , Antioxidantes/administração & dosagem , Feminino , Humanos , Obstrução Intestinal/cirurgia , Intestino Delgado/cirurgia , Fígado/efeitos dos fármacos , Fígado/metabolismo , Testes de Função Hepática , Masculino , Meglumina/administração & dosagem , Meglumina/uso terapêutico , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Succinatos/administração & dosagem , Resultado do TratamentoRESUMO
During 10-year period (2001-2010) in the clinic there were operated on 3648 patients, suffering cholelithic disease. Most frequent intraoperative complications, especially in an acute calculous cholecystitis, were: hemorrhage from the bed of gallbladder and its artery, bile leakage, common biliary duct and internal organs damage. A casuistic case was depicted--the rubber tube migration from the wound into the intestinal lumen and its exile per vias naturalis. The authors consider, that aiming to warn the operative complications during performance of laparoscopic cholecystectomy, the operation must be performed by surgeons, experienced in laparoscopic surgery.
Assuntos
Colecistectomia Laparoscópica/efeitos adversos , Colecistite/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Complicações Intraoperatórias , Masculino , Pessoa de Meia-Idade , Adulto JovemAssuntos
Antibacterianos/farmacocinética , Antibacterianos/uso terapêutico , Diabetes Mellitus Tipo 1/complicações , Angiopatias Diabéticas/tratamento farmacológico , Angiopatias Diabéticas/etiologia , Eritrócitos/metabolismo , Animais , Antibacterianos/administração & dosagem , Transporte Biológico/efeitos dos fármacos , Cães , Injeções Intravenosas , Fatores de TempoAssuntos
Endotoxemia/diagnóstico , Endotoxemia/tratamento farmacológico , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/tratamento farmacológico , Adulto , Apendicite , Doença Crônica , Endotoxemia/microbiologia , Feminino , Humanos , Complicações Pós-Operatórias/microbiologia , Índice de Gravidade de Doença , Infecções Estafilocócicas/microbiologiaRESUMO
In 119 gastroduodenal ulcer disease (UD) patients the presence of Helicobacter pylori (HP) was determined and the morphological changes of gastric mucosa were studied up. The rapid test with urease, cytological investigation of the smear prints and histological examination of the operational material biopsies were done for the HP elimination detection. In gastric UD with nonsignificant HP dissemination the mucosal morphological changes are limited mainly by the cell infiltration of various degree. While the duodenal UD observation, as a rule, there were revealed the HP dissemination of the III-IV degree and significant morphological changes, extended in deep layers of gastric wall, stroma, significant dystrophic and necrobiotic processes in superficial layer.