ABSTRACT
From the experience with 106 mastitis cases it has been found that this condition occurs in women following pathologic pregnancy and delivery. The leading procedures of the treatment are the following: stimulation of protective forces of the body, control of anemia, broad dissection and drainage of the abscess and, in case of a suppurative-infiltrative form, sectoral resection.
Subject(s)
Mastitis/therapy , Adult , Drainage , Drug Therapy, Combination , Female , Humans , Lactation Disorders/therapy , Pregnancy , Recurrence , Staphylococcal Infections/therapy , Time FactorsABSTRACT
An analysis of endoscopic treatment of 174 patients with ulcer disease of the duodenum, divided into 4 groups according to characteristics of the secretory function of the stomach, has shown its efficiency to depend upon the initial parameters of this function. The endoscopic treatment does not influence the secretory function of the stomach and allows more or less positive remission to be achieved without healing the ulcer disease.
Subject(s)
Actihaemyl/administration & dosage , Duodenal Ulcer/drug therapy , Gastric Acid/metabolism , Gastric Mucosa/metabolism , Adolescent , Adult , Aged , Duodenal Ulcer/physiopathology , Gastroscopy , Humans , Injections, Intralesional , Middle AgedABSTRACT
The method of loading was used to study intestinal digestion in 61 patients with duodenal ulcer and in 45 patients at early terms after organ-preserving operations. The inhibition of all stages of the intestinal digestion was found in patients who had the disease for more than 5 years. It was established that in most of the patients organ-preserving operations at early terms normalized the transmembranous transport. High activity of the transmembranous transport before the operation and its increase in part of the patients after operation was followed by the development of dumping syndrome.
Subject(s)
Carbohydrate Metabolism , Duodenal Ulcer/metabolism , Duodenum/metabolism , Vagotomy , Biological Transport , Cell Membrane/metabolism , Cell Membrane Permeability , Duodenal Ulcer/surgery , Duodenum/ultrastructure , Humans , Hydrolysis , Postoperative Period , Time FactorsABSTRACT
Methods of rheogastro- and rheohepatography were used for examination of 69 patients with duodenal ulcer. It was established that selective proximal vagotomy and combined gastric vagotomy were followed by the improvement of blood circulation of the antral portion of the stomach and liver. Truncal vagotomy was shown to aggravate the disturbances of hepatic hemodynamics.
Subject(s)
Duodenal Ulcer/therapy , Liver Circulation , Stomach/blood supply , Vagotomy/methods , Duodenal Ulcer/physiopathology , Humans , Regional Blood Flow , Vagotomy, Proximal GastricABSTRACT
A comparative study of different methods of the assessment of a complete vagotomy (after Grassi--in 50 patients; after Uln--in 35 patients; the method of ultragastric pH-metry after stimulation by insulin of the gastric secretion--in 15 patients; the method of electrogastromyography after electrostimulation of the vagus nerve--in 5 patients) has shown that the method of electrogastromyography after the electrostimulation of the vagus nerves is the most perspective.
Subject(s)
Duodenal Ulcer/surgery , Gastric Acid/metabolism , Vagotomy, Proximal Gastric , Vagotomy , Duodenal Ulcer/physiopathology , Gastric Acidity Determination , Histamine , Humans , Insulin , Intraoperative PeriodABSTRACT
The method of alimentary loads was used for the investigation of intestinal digestion in 60 patients with ulcer disease of the duodenum and 34 patients at early terms after organ-preserving operations. The suppression of intestinal digestion was found in patients having the disease longer than 5 years. It was established that an accelerated transmembrane transport of monomers followed by the appearance of dumping attacks took place in a number of patients both before and after operation.
Subject(s)
Cell Membrane Permeability , Dietary Proteins/metabolism , Duodenal Ulcer/metabolism , Adult , Biological Transport , Chronic Disease , Duodenal Ulcer/surgery , Female , Humans , Hydrolysis , Intestinal Mucosa/metabolism , Male , Middle Aged , Time Factors , VagotomyABSTRACT
Under analysis are results of treatment of 178 patients with diffuse forms of peritonitis for 2 periods. In the 1st period only one-step sanitation, drainage of the abdominal cavity and naso-gastral aspiration of the gastric content were performed. Lethality was 24.4%. In the 2nd period in the reactive phase of peritonitis a one-step sanitation, naso-gastral aspiration were performed, in the toxic and terminal periods--fractional peritoneal lavage and decompression of the intestines through ceco- and ileostomy. Lethality was 6.3%.
Subject(s)
Peritonitis/surgery , Adolescent , Adult , Aged , Humans , Ileostomy , Intraoperative Care , Intubation, Gastrointestinal , Middle Aged , Peritoneal Lavage , Preoperative CareABSTRACT
Under study were 120 patients. It was established that the concentration of histamine in the blood of patients with the ulcer disease of the duodenum was not dissimilar of that in healthy people and could not be responsible for secretory disorders. Organ-preserving operations were found to considerably change the secretory function of the stomach without being followed by changes of the histamine concentration in blood. The histamine stimulation used for diagnostic purposes in ulcer disease of the duodenum is thought to be not expedient.