Assuntos
Enterostomia/métodos , Obstrução Intestinal/cirurgia , Peritonite/cirurgia , Complicações Pós-Operatórias/cirurgia , Feminino , Humanos , Obstrução Intestinal/mortalidade , Masculino , Pessoa de Meia-Idade , Peritonite/mortalidade , Complicações Pós-Operatórias/mortalidade , Recidiva , Reoperação , Taxa de Sobrevida , Resultado do TratamentoRESUMO
The authors analyse the material of a specialized gastroenterologic department of a regional clinical hospital and a department of sanitary aviation on rendering emergency and planned surgical aid to elderly and senile patients with gastric and duodenal ulcer. The immediate and late-term results of surgery were much better in resection of the stomach after Eck-Billroth-II with terminolateral transverse anastomosis in K.G. Komarchev's modification than in Billroth-II resection of the stomach in the Hofmeister-Finsterer modification. The peculiarities of the operative techniques leading to improvement of the immediate and late-term results of surgery for gastric and duodenal ulcer in elderly and senile patients allow us to recommend Eck-Billroth-II gastrectomy with terminolateral transverse anastomosis in K.G. Komarchev's modification for wider practical use.
Assuntos
Gastrectomia/métodos , Gastroenterostomia/métodos , Úlcera Péptica/cirurgia , Síndromes Pós-Gastrectomia/etiologia , Fatores Etários , Idoso , Ácido Gástrico/metabolismo , Mucosa Gástrica/metabolismo , Humanos , Pessoa de Meia-Idade , Úlcera Péptica/fisiopatologia , Síndromes Pós-Gastrectomia/prevenção & controle , Fatores de TempoAssuntos
Medicina Aeroespacial/normas , Doenças do Sistema Digestório/cirurgia , Departamentos Hospitalares/organização & administração , Complicações Pós-Operatórias/mortalidade , Centro Cirúrgico Hospitalar/organização & administração , Transporte de Pacientes/normas , Ferimentos e Lesões/cirurgia , Doenças do Sistema Digestório/mortalidade , Emergências , Humanos , Equipe de Assistência ao Paciente/organização & administração , Encaminhamento e Consulta , Centro Cirúrgico Hospitalar/normas , Fatores de Tempo , Ucrânia , Ferimentos e Lesões/mortalidadeRESUMO
The paper is concerned with the results of combined therapy of 210 rectal cancer patients (stage III1 using hyperthermia, hyperglycemia and monochemotherapy (5-FU), and 6 patients with metastatic liver cancer who received intraportal chemotherapy. A selective damaging effect of hyperglycemia on a tumor cell was revealed. The use of hyperglycemia-hyperthermia-chemotherapy in the preoperative period was substantiated, the 3-year survival of 69 patients who had received single sessions of hyperthermia-hyperglycemia-monochemotherapy, was 77%. Positive results of intraportal administration of 5-FU were noted in the patients with metastatic liver cancer.
Assuntos
Glucose/administração & dosagem , Hiperglicemia , Hipertermia Induzida , Neoplasias Retais/radioterapia , Irradiação Corporal Total , Terapia Combinada/métodos , Fluoruracila/administração & dosagem , Seguimentos , Humanos , Hipertermia Induzida/métodos , Cuidados Pós-Operatórios , Cuidados Pré-Operatórios , Neoplasias Retais/tratamento farmacológico , Neoplasias Retais/mortalidade , Neoplasias Retais/cirurgia , Reto/cirurgia , Fatores de Tempo , Irradiação Corporal Total/métodosRESUMO
Gel precipitation was employed to detect antibodies to the A-polysaccharide specific antigenic determinant in blood serum of 131 patients with different versions of rheumatic fever. 21 patients with non-rheumatic myocarditis, 25 convalescents following quinsy, and 58 donors. It was established that high titers of antibodies to A-polysaccharide in patients with protracted and latent rheumatic fever correlate with the clinical and morphological signs of the process activity. Elevation of the antibody titers after mitral commissurotomy made to 107 patients was recorded only in those with exacerbation or activation of rheumatic fever. During the first year after mitral commissurotomy as well as at the preoperative period, the titers of antibodies to A-polysaccharide in patients with protracted rheumatic fever were higher than in those with latent and inactive disease patterns.