RESUMO
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.
Assuntos
Traumatismos Abdominais , Traumatismos Craniocerebrais , Traumatismo Múltiplo , Ferimentos não Penetrantes , Traumatismos Abdominais/complicações , Traumatismos Abdominais/diagnóstico , Traumatismos Abdominais/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Traumatismos Craniocerebrais/complicações , Traumatismos Craniocerebrais/diagnóstico , Traumatismos Craniocerebrais/cirurgia , Feminino , Hemodinâmica/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Traumatismo Múltiplo/complicações , Traumatismo Múltiplo/diagnóstico , Traumatismo Múltiplo/cirurgia , Resultado do Tratamento , Ferimentos não Penetrantes/complicações , Ferimentos não Penetrantes/diagnóstico , Ferimentos não Penetrantes/cirurgiaRESUMO
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.
Assuntos
Traumatismos Abdominais , Lesões Encefálicas , Ferimentos não Penetrantes , Traumatismos Abdominais/complicações , Traumatismos Abdominais/diagnóstico , Traumatismos Abdominais/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Lesões Encefálicas/complicações , Lesões Encefálicas/diagnóstico , Lesões Encefálicas/cirurgia , Feminino , Escala de Coma de Glasgow , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
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.
Assuntos
Peritonite/terapia , Fotoferese/métodos , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Peritonite/etiologiaAssuntos
Anti-Infecciosos Locais/administração & dosagem , Injeções/efeitos adversos , Infecção dos Ferimentos/prevenção & controle , Adulto , Compostos de Decametônio/administração & dosagem , Formas de Dosagem , Avaliação de Medicamentos , Etanol/administração & dosagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pele/efeitos dos fármacos , Pele/microbiologia , Infecção dos Ferimentos/tratamento farmacológicoRESUMO
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.
Assuntos
Doenças do Sistema Digestório/diagnóstico , Determinação da Acidez Gástrica , Adulto , Idoso , Feminino , Determinação da Acidez Gástrica/instrumentação , Humanos , Concentração de Íons de Hidrogênio , Masculino , Pessoa de Meia-IdadeRESUMO
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.
Assuntos
Anti-Infecciosos Locais/uso terapêutico , Infecções Oportunistas/prevenção & controle , Infecção da Ferida Cirúrgica/prevenção & controle , Anti-Infecciosos Locais/farmacologia , Bactérias/efeitos dos fármacos , Desinfecção das Mãos , Humanos , Testes de Sensibilidade Microbiana , Infecções Oportunistas/microbiologia , Pele/microbiologia , Infecção da Ferida Cirúrgica/microbiologiaRESUMO
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.
Assuntos
Anti-Infecciosos Locais/uso terapêutico , Dermatoses da Mão/terapia , Abscesso/microbiologia , Abscesso/terapia , Doença Aguda , Adulto , Bactérias/isolamento & purificação , Celulite (Flegmão)/microbiologia , Celulite (Flegmão)/terapia , Terapia Combinada , Compostos de Decametônio/uso terapêutico , Feminino , Dedos/cirurgia , Dermatoses da Mão/microbiologia , Humanos , Masculino , Pessoa de Meia-Idade , Paroniquia/microbiologia , Paroniquia/terapiaRESUMO
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%.
Assuntos
Anti-Infecciosos Locais/uso terapêutico , Infecções Bacterianas/prevenção & controle , Traumatismos da Mão/complicações , Doença Aguda , Administração Cutânea , Infecções Bacterianas/microbiologia , Compostos de Decametônio/uso terapêutico , Traumatismos dos Dedos/complicações , HumanosAssuntos
Infecções Bacterianas/tratamento farmacológico , Mãos , Micoses/tratamento farmacológico , Infecções por Proteus/tratamento farmacológico , Supuração/tratamento farmacológico , Adulto , Antibacterianos , Compostos de Decametônio/uso terapêutico , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeAssuntos
Dermatoses da Mão/prevenção & controle , Doença Aguda , Doenças dos Trabalhadores Agrícolas/etiologia , Doenças dos Trabalhadores Agrícolas/prevenção & controle , Traumatismos dos Dedos/complicações , Dedos , Dermatoses da Mão/etiologia , Traumatismos da Mão/complicações , Humanos , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Pele/microbiologia , UcrâniaRESUMO
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.