RESUMO
The article is devoted to actulal problem of endocrinology and surgery-treatment of severe diseases of the thyroid gland. Results of plasmapheresis application in complex preoperative preparation in 90 patients, aged from 20 to 60 yrs, in severe course of the disease, were adduced. After plasmapheresis preparation conduction the reduction of the autoimmune processes in the patients organisms, the antibodies titer lowering were noted, witnessing the stable remission achievement. Plasmapheresis application in complex of treatment of patients with autoimmune thyroiditis and diffuse toxic goiter causes significant positive influence on hormonal and immune state.
Assuntos
Bócio Nodular/cirurgia , Plasmaferese/métodos , Cuidados Pré-Operatórios , Tireoidite Autoimune/cirurgia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
In 1998-2003 yrs in the clinic there were treated 360 patients with the thyroid gland diseases, 147 (40.8%) of them were operated. In 19 (12.9%) of patients various kinds of complications had occurred.
Assuntos
Complicações Pós-Operatórias/terapia , Neoplasias da Glândula Tireoide/cirurgia , Feminino , Humanos , MasculinoRESUMO
Metronidazole was used for treatment of 212 patients with peritonitis of appendicular origin. It resulted in lowered leukocytosis, elimination of the stab neutrophil shift, earlier reduction of the leukocyte intoxication index. The amount of suppurations of postoperative wounds decreased from 17% to 4.3%. The amount of reoperations was 2.4% instead of 5.4%. Metronidazole is recommended for treatment of acute appendicitis complicated by peritonitis.