RESUMO
Results of treatment in 2000-2016 yrs of 183 patients for the neck phlegmon were analyzed. In 60 (32.8%) of them a descending purulent mediastinitis (DPM) was diagnosed. The main causes of the DPM occurrence were tonsilogenic and odontogenous factors. Postoperative lethality in DPM have constituted 25%.
Assuntos
Celulite (Flegmão)/patologia , Linfadenite/patologia , Mediastinite/patologia , Necrose/patologia , Supuração/patologia , Adulto , Idoso , Periodontite Agressiva/complicações , Periodontite Agressiva/mortalidade , Periodontite Agressiva/patologia , Celulite (Flegmão)/etiologia , Celulite (Flegmão)/mortalidade , Celulite (Flegmão)/cirurgia , Feminino , Humanos , Linfadenite/etiologia , Linfadenite/mortalidade , Linfadenite/cirurgia , Masculino , Mediastinite/etiologia , Mediastinite/mortalidade , Mediastinite/cirurgia , Mediastino/patologia , Mediastino/cirurgia , Pessoa de Meia-Idade , Pescoço/patologia , Pescoço/cirurgia , Necrose/etiologia , Necrose/mortalidade , Necrose/cirurgia , Supuração/etiologia , Supuração/mortalidade , Supuração/cirurgia , Análise de Sobrevida , Tonsilite/complicações , Tonsilite/mortalidade , Tonsilite/patologiaRESUMO
There were examined 67 patients, treated in the Thoracic Department of Rural Ivano-Frankivsk Clinical Hospital for exudative pericarditis in 2005-2009 yrs. In 27 (40.2%) patients a fenestration of pericardium was performed, using videoassisted thoracoscopy (VATHS), and in 40 (59.8%) - a pericardium cavity puncture according to Larrey method. The results of surgical treatment were analyzed, comparative estimation of the every method efficacy was conducted. The advantages of VATHS application with pericardium fenestration in patients, suffering exudative pericarditis, were proved. Indications for the VATHS application in patients, suffering exudative pericarditis, were determined.
Assuntos
Derrame Pericárdico/cirurgia , Pericardite/cirurgia , Pericárdio/cirurgia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cirurgia Torácica Vídeoassistida , Adulto JovemRESUMO
There were 60 patients with an acute purulent affection of pleural cavity were examined. Dynamic of the tumor necrosis factor-alpha (TNF-alpha) and interleukin-1 alpha (IL-1 alpha) content under the influence of complex surgical treatment of these patients was studied. While hospitalization of patients the TNF-alpha level was (63.9 +/- 0.5) pg/l, IL-1 alpha-(169.8 +/- 0.5) pg/l. Performance of complex surgical treatment, basing on method of clinic, had promoted the elimination of purulent-septic damage, reduction of this indexes concentration, accordingly, down to (0.002 +/- 0.01) and (31.8 +/- 0.704) pg/l.