RESUMO
Inflammation of the appendix is primarily a local process with the development of localized subcompensation of immunogenesis in simple appendicitis. Decompensation of immunogenesis and a destructive process develop in progressive insufficiency of immune reactions, in immune reactions of considerable intensity the inflammation is arrested spontaneously, but atrophy of lymphoid tissue remains as a consequence. Frequent (48.7%) recurrent inflammation is attended by a more severe clinical course and rapid development of complications, owing to which appendectomy is recommended in simple appendicitis. The authors revealed changes of the general resistance of the organism, which were manifested by activation of leukocyte phagocytic activity and reduction of their content of cation proteins and by increase of the level of circulating immune complexes in the blood.
Assuntos
Apendicite/imunologia , Apêndice/imunologia , Doenças do Complexo Imune/etiologia , Doença Aguda , Adolescente , Complexo Antígeno-Anticorpo/análise , Apendicite/etiologia , Criança , Pré-Escolar , Humanos , Lactente , Neutrófilos/imunologia , Fagocitose/imunologiaAssuntos
Apendicite/cirurgia , Peritonite/cirurgia , Doença Aguda , Apendicite/complicações , Apendicite/diagnóstico , Pré-Escolar , Erros de Diagnóstico , Quimioterapia Combinada , Humanos , Lactente , Peritonite/diagnóstico , Peritonite/etiologia , Complicações Pós-Operatórias/epidemiologia , Cuidados Pré-Operatórios/métodosRESUMO
Under study were 66 children with diffuse purulent peritonitis of the appendicular genesis and 18 adults with bile peritonitis resulting from gangrenous cholecystitis. The analysis of their rheohepatograms showed sharply increased tone of hepatic arterioles, slower outflow of the venous blood, especially in the group of patients with bile peritonitis. Such changes were found to stay long and not to return to normality by the time of discharge of the patient from the hospital. Such patients should be purposefully treated in the polyclinics.
Assuntos
Circulação Hepática , Peritonite/fisiopatologia , Adolescente , Adulto , Criança , Pré-Escolar , Humanos , Pletismografia de Impedância , Período Pós-Operatório , Fatores de TempoRESUMO
Semisynthetic antibiotics combined with heparin and proteolysis inhibitors were used for the complex treatment of 110 children with staphylococcal destruction of lungs. Eleven children died. No heparin and inhibitors of proteolytic enzymes were used in the treatment of 158 children. Of this group 25 children died.