[Diagnostics and treatment of patients with closed injuries of abdominal cavity organs in combination with craniocerebral trauma].

The article presents the results of the diagnostics and treatment of 114 patients with closed injuries of abdominal cavity organs combined with craniocerebral trauma. 34 (29.8%) of the patients developed injuries of two and more organs of abdominal cavity. The injured were subjected to complex examination methods including X-ray, ultrasonic diagnostics, endoscopy, laparocentesis, echoencephalography, spinal and pleural puncture, hemodynamic and hematological tests. All the injured were operated on. Infusion of autoblood was done to 32 (28%) of the patients. The analysis of the observation shows that rational use of common and informative diagnostic methods allows diagnosing timely patients with closed injuries of abdominal cavity organs in combination with craniocerebral trauma.

[Diagnosis and treatment of patients with closed injury of abdominal cavity organs in combination with craniocerebral trauma]. / Diagnostika i lechenie bol'nykh s zakrytym povrezhdeniem organov briushnoi polosti v sochetanii s cherepno-mozgovoi travmoi.

Results of diagnosis and treatment of 114 injured persons with closed abdominal trauma, combined with craniocerebral trauma were suggested. In 34 (29.8%) observations the injury of two or more organs of peritoneal cavity was diagnosed, the parenchymatous organs trauma--in 35 (30.7%) and the hole organs trauma--in 45 (39.5%). Cerebral concussion was established in 61 (53.5%) of injured persons, cerebral contusion--in 26 (22.8%), cerebral compression on the contusion background--in 16 (14%) and subdural hematoma--in 11 (9.7%). In all the injured persons the operative intervention was performed. In 32 (28%) the blood of their own was transfused. To reduce the endogenous intoxication severity there were performed the forced diuresis, hemosorption--in 10 (8.7%), the blood ultraviolet irradiation--in 41 (35.9%), intravenous laserotherapy--in 40 (35%). After the operation 14 (12.3%) of patients died. High mortality in combined cranioabdominal trauma is caused by the injury severity, the traumatic shock and mutual burden syndrome presence.

[Extracorporeal ultraviolet irradiation of blood in combined treatment of patients with peritonitis]. / Ekstrakorporal'noe ul'trafioletovoe obluchenie krovi v komplekse lecheniia bol'nykh s peritonitom.

Experience of application of extracorporeal ultraviolet irradiation of the blood (EUIB) in 60 patients with diffuse peritonitis of different etiology was presented. EUIB was conducted in 16-24 hours after performance of operation using apparatus MD--73 M "Izolda". The leukocytic index of intoxication after performance of the EUIB third procedure had reduced by 28.5%. Leukocytic index of shift had reduced after the first procedure performance--by 23.1%, after the third--by more than 50%. T-lymphocytes quantity in 22-24 hours after conduction of the first EUIB procedure had increased by 23.8% and after the third--by 63%. General postoperative mortality after complex treatment conduction using EUIB had constituted 3.3% and without EUIB--6.5%. Duration of treatment of the patients, in whom EUIB was applied, had shortened by 2.6 days.

[The diagnostic aspects of intragastric pH measurement]. / Diagnosticheskie aspekty vnutrizheludochnoi pH-metrii.

The article presents results of the study of gastric acidity by intragastric pH-metry in 255 patients, in 62 of whom (27.5%) it appeared to be normal. Hyperacidity was revealed in 100 patients (44.5%). The remaining 63 patients (28%) showed decreased gastric acidity. Diagnostic aspects of the method in examination of gastroenteric patients are considered.

[A comparative study of the efficacy of antiseptics used for preventing infectious complications]. / Sravnitel'noe izuchenie éffektivnosti antiseptikov, primeniaemykh dlia profilaktiki infektsionnykh oslozhnenii.

The results of comparative study of antimicrobial properties of decamethoxine and chlorhexidine bigluconate are presented. It is established that resistant to antibiotics strains of pathogens of nosocomial infections were highly susceptible to decamethoxine. Decamethoxine and, to a lesser degree, chlorhexidine bigluconate have a bactericidal effect in treatment of hand skin of the medical staff of surgical department. The authors consider it expedient to use the mentioned preparations for prevention of nosocomial infection.

[The combined treatment of acute suppurative diseases of the fingers and hand using decamethoxin]. / Kompleksnoe lechenie ostrykh gnoinykh zabolevanii pal'tsev i kisti s primeneniem dekametoksina.

The authors discuss the results of complex treatment of 286 patients with acute pyoinflammatory diseases of the fingers and hand with the use of a new Soviet-produced antiseptic decametoxin. Panaris was diagnosed in 196 (68.5%), phlegmons and abscesses in 82 (29.7%), furuncle in 6 (2.1%) and carbuncle in 2 (0.7%) patients. 224 (78.4%) patients received out-patient and 62 (21.6%) in-patient treatment. The authors established that as the result of the applied complex treatment with the use of various antiseptic compositions containing decametoxin the mean duration of treatment was 7.8 days. The article discusses the causes of the disease, the methods of operative treatment, and management of patients in the postoperative period.

[Prevention of acute purulent inflammatory diseases of the fingers and hand with decamethoxine]. / Profilaktika ostrykh gnoino-vospalitelnykh zabolevanii paltsev i kisti s primeneniem dekametoksina.

Resulting from disease-prevention work among population of the district, use of BF-6D glue for treatment of microtraumas to skin of the hands, the number of patients with inflammatory diseases reduced by 14.7%.

[Complex prevention and treatment of acute suppurative diseases of the fingers and hand in a rural population]. / Kompleksnaia profilaktika i lechenie ostrykh gnoinykh zabolevanii pal'tsev i kisti u sel'skogo naseleniia.

Based on an analysis of his experience with the treatment of different kinds of acute suppurative diseases of hands and fingers the author gives reliable recommendations for prevention of the pathology in countrymen, complex treatment of the diseases with the application of present-day antiseptics.