RESUMO
A number of systemic disorders develop in the clinical course of acute pancreatitis. Among these important are the respiratory disorders occurring in 35-55% of the patients. They develop in the first hours after onset of pancreatitis and are the cause of death in 60% of the severe forms of acute pancreatitis. We studied the changes in the arterial blood oxygen status and acid-base status in experimentally induced severe acute pancreatitis in dogs. The animals were divided into two groups--one receiving sandostatin treatment and the other without treatment. Quickly progressing acute arterial hypoxemia was observed in the dogs with severe acute pancreatitis. Hypoxemia development was delayed by administration of sandostatin.
Assuntos
Equilíbrio Ácido-Base , Doenças do Cão/sangue , Oxigênio/sangue , Pancreatite Necrosante Aguda/veterinária , Equilíbrio Ácido-Base/efeitos dos fármacos , Animais , Gasometria , Modelos Animais de Doenças , Cães , Feminino , Hormônios/farmacologia , Masculino , Octreotida/farmacologia , Pancreatite Necrosante Aguda/tratamento farmacológicoRESUMO
Echinococcosis still remains a widespread disease associated with the development of a number of complications. The present study presents three patients, successfully treated surgically of bronchobiliary fistulas--in two of the patients the fistulas were due to complicated echinococcosis of the liver, and in the third patient the fistula was a result of a hepatic abscess which developed in a residual cavity after echinococcectomy. The patients were discharged from hospital in good health. The authors consider thoracophrenotomy to be the method of choice in the surgical treatment of patients with bronchobiliary fistulas; it allows performance of echinococcectomy and elimination of the bronchobiliary fistula. The results are discussed in relation to relevant data in literature.
