RESUMO
State of the immune system was analyzed in 30 patients with the adhesive abdominal disease in long postoperative terms out of the attack of the disease. Survey had demonstrated certain disorders in both cell and humoral immune systems. Strong decrease of immunoglobulins G and A, T-lymphocytes and neutrophilic phagocytic activity were registered. Thus, the use of agents, activising T- and B-cell immunity should be considered in patients with the adhesive abdominal disease.
Assuntos
Abdome , Linfócitos B/imunologia , Imunidade Celular/imunologia , Linfócitos T/imunologia , Adulto , Feminino , Seguimentos , Humanos , Masculino , Aderências Teciduais/imunologiaRESUMO
Anaerobic gas-producing clostridial infection is one of most severe complications of mainly gunshot wound of war period, in peace time occurs very seldom. The rare clinical case of anaerobic gas-producing clostridial endogenic infection with fulminant course in patient with salmonellosis produced by group B salmonella typhimurium. The disease was finished with fatal outcome in 8.5 hours after appearance of pain syndrome in right thigh with consequent fulminant development of gas gangrene with arterial hypotension on 4th day after onset of gastroenteric form of medium severity salmonellosis. Clinical, microbiological and postmortem data are represented.
Assuntos
Infecções por Clostridium/complicações , Clostridium/isolamento & purificação , Intoxicação Alimentar por Salmonella/complicações , Salmonella typhimurium/isolamento & purificação , Idoso , Infecções por Clostridium/diagnóstico , Infecções por Clostridium/microbiologia , Diagnóstico Diferencial , Evolução Fatal , Humanos , Intestino Delgado/microbiologia , Masculino , Intoxicação Alimentar por Salmonella/diagnóstico , Intoxicação Alimentar por Salmonella/microbiologiaRESUMO
In the patients with different forms of cholelithiasis 1988 operations were performed, 597 of them - on account of acute calculous cholecystitis. In 118 (19%) patients with acute calculous cholecystitis choledocholithiasis was diagnosed. All the patients were divided into two groups. Group 1 consisted of 52 (44%) patients who have undergone conventional "open" operation with choledocholithotomy. Group 2 consisted of 66 (56%) patients treated with endoscopic techniques. In group 1 complications were seen in 4 (7.6%) patients, lethal outcome -- in 3 (5.7%), residual choledocholithiasis -- in 7 (13.4%). Mean hospital stay was 24.7 days. In group 2 complications were seen in 1 (2%) patient, residual choledocholithiasis -- in 1 (2%), there were no lethal outcomes. Mean hospital stay was 15.1 days. It is concluded that minimally invasive technologies in the treatment of acute calculous cholecystitis and choledocholithiasis improve results of treatment and shorten hospital stay.
