RESUMO
The results of treatment of 12 patients, suffering complicated forms of abdominal tuberculosis and external intestinal fistulas, were presented. Late diagnosis of abdominal tuberculosis in the patients, suffering the complications phase of the disease, is caused by unclear symptoms presence in early stages of the disease. Clinical and laboratory indices in peritonitis of a phthisis origin are nonspeciphic. In 91% of patients, admitted to the hospital for complicated forms of abdominal tuberculosis and external intestinal fistulas, the operative treatment was indicated. Surgical intervention (more frequently right-sided hemicolectomy, enterostomy, the abscesses opening, the caseously-changed lymph nodes excision, formation of anastomosis) was performed in 11 patients for peritonitis and external intestinal fistulas. The method of a secure invagination anastomoses formation was elaborated, permitting to perform primary restoration operations. An early diagnosis, early effective therapy and radical surgical intervention conduction for complicated abdominal tuberculosis promote the patients to survive.
Assuntos
Fístula Intestinal/cirurgia , Excisão de Linfonodo , Peritonite Tuberculosa/cirurgia , Tuberculose Gastrointestinal/cirurgia , Tuberculose dos Linfonodos/cirurgia , Cavidade Abdominal , Adulto , Colectomia , Enterostomia , Feminino , Humanos , Imunoglobulinas/sangue , Fístula Intestinal/imunologia , Fístula Intestinal/microbiologia , Fístula Intestinal/patologia , Intestinos/imunologia , Intestinos/microbiologia , Intestinos/cirurgia , Masculino , Mycobacterium tuberculosis , Peritonite Tuberculosa/imunologia , Peritonite Tuberculosa/microbiologia , Peritonite Tuberculosa/patologia , Linfócitos T/imunologia , Tuberculose Gastrointestinal/imunologia , Tuberculose Gastrointestinal/microbiologia , Tuberculose Gastrointestinal/patologia , Tuberculose dos Linfonodos/imunologia , Tuberculose dos Linfonodos/microbiologia , Tuberculose dos Linfonodos/patologiaRESUMO
The results of treatment of complex wounds in 115 patients, in 56 of whom vacuum-therapy was conducted, were analyzed. The duration of a bandage holding constitutes 1 - 3 days at average. The peculiarities of clinical course, the dynamics of the wounds microbic spillage, cellular content in the wounding prints, phagocytic activity and phagocytic number, the phagocytosis completeness index were estimated and calculated. Application of vacuum-therapy have promoted the earlier cleansing and epithelization of the wounds as well as the tissues reparation occurrence and the laboratory indices normalization.
Assuntos
Tratamento de Ferimentos com Pressão Negativa/métodos , Cicatrização , Infecção dos Ferimentos/terapia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tratamento de Ferimentos com Pressão Negativa/instrumentação , Supuração , Fatores de Tempo , Resultado do Tratamento , Vácuo , Infecção dos Ferimentos/tratamento farmacológico , Adulto JovemRESUMO
The experience of treatment of patients for splenic abscess, using the abscess cavity puncture and drainage under ultrasonographic guidance, was summarized. The authors consider the method applied as a perspective one, noting, yet, its risks and a need for further studying.
