RESUMEN
The experience of treatment of 236 patients with cervical phlegmon, in 7 of whom with putrefactive phlegmon, was summarized. The treatment difficulties are due to rapid infection spreading, the possibility absence of timely laboratory confirmation of diagnosis. Operative intervention was conducted during two hour period of time after the hospitalization moment. An adequate detoxication therapy, hyperbaric oxygenation, antibiotic therapy was conducted to all of the patients, metrogyl was administered without fail. Two patients died because of mediastinitis (1) and the pulmonary artery thromboembolism (1).
Asunto(s)
Celulitis (Flemón)/cirugía , Cuello , Adulto , Antibacterianos/uso terapéutico , Antitricomonas/uso terapéutico , Celulitis (Flemón)/complicaciones , Celulitis (Flemón)/terapia , Femenino , Humanos , Oxigenoterapia Hiperbárica , Masculino , Metronidazol/uso terapéutico , Persona de Mediana Edad , Supuración , Factores de TiempoAsunto(s)
Anemia/terapia , Úlcera Péptica Hemorrágica/complicaciones , Anemia/sangre , Anemia/etiología , Sangre/efectos de la radiación , Transfusión de Sangre Autóloga , Humanos , Microondas/uso terapéutico , Úlcera Péptica Hemorrágica/cirugía , Síndrome , Glándula Tiroides/efectos de la radiación , Rayos UltravioletaRESUMEN
The 10-year experience with diagnosis and treatment of closed injuries to the spleen in 84 patients is presented. In 13 patients, the two-instant splenic rupture, in 5--spontaneous was noted. Seventy (83.3%) patients had isolated injuries. In 17 patients, blood reinfusion with total volume of 22,800 ml was performed at operation. Post-operative lethality was 4.8%, total--5.9%. One patient died without operation.