RESUMO
The article generalizes materials of 148 rethoracotomies. Main complications are described. Grounds are given for the use of perfusion through the xenospleen at the early postoperative period in order to liquidate the coagulated haemothorax mainly after pulmonectomy. An original method of determination of the coefficient of relative viscosity of the exudate on the absorbing base is described. The method allows the objective control of infectivity of the pleural exudate to be performed. The clinical use of different methods of detoxication in the preoperative period is substantiated: UVI of blood, hemocarbosorption and xenohemosorption, which allowed to reduce lethality after rethoracotomies and reoperations on the lungs.
Assuntos
Pulmão/cirurgia , Toracotomia , Contraindicações , Humanos , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/cirurgia , Reoperação/métodos , Toracotomia/métodosRESUMO
The authors observed and helped 157 patients with multiple trauma of the chest. Trauma shock was observed in 97 of them. A clinical classification of such injuries is proposed. Main combinations of injuries of internal organs have been found. Surgical tactics is considered.
Assuntos
Traumatismo Múltiplo/cirurgia , Traumatismos Torácicos/cirurgia , Adulto , Feminino , Traumatismos Cardíacos/classificação , Traumatismos Cardíacos/complicações , Traumatismos Cardíacos/cirurgia , Humanos , Pulmão/cirurgia , Lesão Pulmonar , Masculino , Traumatismo Múltiplo/classificação , Traumatismo Múltiplo/complicações , Choque Traumático/etiologia , Choque Traumático/terapia , Traumatismos Torácicos/classificação , Traumatismos Torácicos/complicaçõesRESUMO
Data of examination of 208 patients with benign tumors and cysts of mediastinum are presented. The specific clinico-roentgenological symptoms of the disease are described by groups. Diagnostic possibilities of special methods of examination and problems of choice of the operative access are discussed. The operative complications are characterized. Postoperative lethality was 1,1%.
Assuntos
Cisto Dermoide/cirurgia , Lipoma/cirurgia , Cisto Mediastínico/cirurgia , Neoplasias do Mediastino/cirurgia , Teratoma/cirurgia , Adolescente , Adulto , Idoso , Cisto Dermoide/diagnóstico por imagem , Diagnóstico Diferencial , Feminino , Humanos , Lipoma/diagnóstico por imagem , Masculino , Cisto Mediastínico/diagnóstico por imagem , Neoplasias do Mediastino/diagnóstico por imagem , Pessoa de Meia-Idade , Radiografia , Teratoma/diagnóstico por imagemAssuntos
Diafragma , Adolescente , Adulto , Criança , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Pessoa de Meia-Idade , Doenças Musculares/cirurgiaRESUMO
Experience with the treatment of 33 patients with injuries of the duodenum is presented: 17 patients with ruptures of the duodenum, 16 patients with wounds. Post-operative complications were developed in 21 patients, 13 patients died. The two-row suture of the wound and decompression by nasogastroduodenal probe are considered by the authors to be the adequate operation for most of the patients.
Assuntos
Duodeno/lesões , Ferimentos não Penetrantes/cirurgia , Ferimentos Penetrantes/cirurgia , Criança , Drenagem/métodos , Feminino , Humanos , Intubação Gastrointestinal , Masculino , Complicações Pós-Operatórias/etiologia , Ruptura , Técnicas de Sutura , Ferimentos não Penetrantes/diagnóstico , Ferimentos Penetrantes/diagnósticoAssuntos
Diafragma , Corpos Estranhos/patologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeAssuntos
Brônquios/lesões , Broncoscopia/efeitos adversos , Criança , Pré-Escolar , Feminino , Corpos Estranhos/complicações , Humanos , Masculino , RupturaAssuntos
Coriocarcinoma/patologia , Neoplasias Pulmonares/patologia , Adulto , Feminino , Humanos , Pneumotórax/patologia , GravidezRESUMO
The experience of treatment of 400 patients with severe associated traumas of the thorax has shown the potentiating action of different damages to result in new clinical quality responsible for a crisis of vital functions. In the every fourth patient there occurred dangerous for life progressing disorders in the respiration and hemodynamics. The methods of treatment were determined by the leading injury and the degree of disturbances in the respiration and blood circulation. Urgent operations were made for vital indications.