RESUMO
The results of treatment of 52 patients, suffering obturation jaundice (OJ), were analyzed. The causes of the OJ occurrence were studied up. A peculiar attention was drawn to the treatment of patients, suffering OJ on a hepatic cirrhosis background. On the first stage of surgical treatment various operative procedures were applied to eliminate OJ. The impact of the tactics proposed, consisting of detoxication and infusion therapy, on duration of postoperative rehabilitation of the patients was studied up. In postoperative period to all the patients Hepasol Neo was prescribed, what have promoted their general condition improvement, the bilirubin level normalization, as well as the cytolysis and cholestasis elimination.
Assuntos
Aminoácidos/uso terapêutico , Colestase/tratamento farmacológico , Icterícia Obstrutiva/tratamento farmacológico , Cirrose Hepática/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Aminoácidos/farmacologia , Bilirrubina/sangue , Colecistectomia Laparoscópica/métodos , Colestase/complicações , Colestase/patologia , Colestase/cirurgia , Feminino , Humanos , Icterícia Obstrutiva/complicações , Icterícia Obstrutiva/patologia , Icterícia Obstrutiva/cirurgia , Tempo de Internação , Cirrose Hepática/complicações , Cirrose Hepática/patologia , Cirrose Hepática/cirurgia , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Resultado do TratamentoRESUMO
The aim of the study was to reduce the frequency of hemorrhagic complications in the surgical treatment of patients for diseases of bile ducts. Hemostatic state before, immediately after and on the following day after the operation was controlled by the data of frequency piezoelectric thromboelastography. It is established, that the application of tranexamic acid to promote incidence of hemorrhagic complications are reduced by 38.65%.
Assuntos
Antifibrinolíticos/uso terapêutico , Coledocolitíase , Hemostasia/efeitos dos fármacos , Hemorragia Pós-Operatória/prevenção & controle , Ácido Tranexâmico/uso terapêutico , Antifibrinolíticos/administração & dosagem , Coledocolitíase/sangue , Coledocolitíase/diagnóstico , Coledocolitíase/cirurgia , Esquema de Medicação , Hemostasia/fisiologia , Humanos , Hemorragia Pós-Operatória/sangue , Hemorragia Pós-Operatória/epidemiologia , Hemorragia Pós-Operatória/etiologia , Tromboelastografia , Ácido Tranexâmico/administração & dosagem , Resultado do TratamentoRESUMO
The experience of surgical treatment of 513 injured persons with severe closed thoracoabdominal trauma (CTAT) in an acute period was summarized. In 142 (27.8%) patients the hepatic injury was revealed. The CTAT structure, the diagnosis and surgical tactics peculiarities in the liver injury, complications, the mortality outcome causes were analyzed. Lethality was 64.1%.
Assuntos
Traumatismos Abdominais/cirurgia , Fígado/lesões , Fígado/cirurgia , Traumatismos Torácicos/cirurgia , Ferimentos não Penetrantes/cirurgia , Traumatismos Abdominais/complicações , Traumatismos Abdominais/mortalidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Taxa de Sobrevida , Traumatismos Torácicos/complicações , Traumatismos Torácicos/mortalidade , Resultado do TratamentoRESUMO
Experience of surgical treatment of 513 injured persons with closed thoracoabdominal trauma (CTAT) in an acute period was summarized. Splenic damage was revealed in 123 (23.9%) of patients. The CTAT structure was suggested as well as peculiarities of diagnosis, surgical tactics in splenic injury, complications and causes of mortality were analyzed. Mortality was 43.9%.
Assuntos
Traumatismos Abdominais/cirurgia , Baço/lesões , Baço/cirurgia , Traumatismos Torácicos/cirurgia , Adolescente , Adulto , Idoso , Feminino , Humanos , Laparotomia/métodos , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
Examination was done to 196 injured persons with the closed abdominal trauma and hepatic injury. Reverse dependence between the trauma severity and frequency of abdominal symptoms exposure was established. Importance of rational use of instrumental diagnostical methods to reveal the hepatic injury timely was stressed.
