RESUMO
Analysed herein are therapeutic outcomes in a total of 417 patients presenting with pyonecrotic complications of diabetic foot syndrome. The obtained findings suggest an unfavourable course of the wound process and increased risk of high amputations in the presence of lower limb critical ischaemia.
Assuntos
Amputação Cirúrgica/estatística & dados numéricos , Pé Diabético/complicações , Isquemia/complicações , Cicatrização/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Velocidade do Fluxo Sanguíneo , Pé Diabético/patologia , Pé Diabético/cirurgia , Progressão da Doença , Feminino , Seguimentos , Humanos , Isquemia/diagnóstico , Isquemia/cirurgia , Masculino , Pessoa de Meia-Idade , Necrose , Prognóstico , Estudos Retrospectivos , Índice de Gravidade de Doença , Ultrassonografia Doppler Dupla , Adulto JovemRESUMO
Complex prophylactics of pyo-septic complications was used in 46 patients with acute destructive pancreatitis. It resulted in 11% less frequency of the complications, postoperative lethality became 28% lower. In 35 patients with the preserved spleen resection of the pancreas was followed by less lethality as compared with similar operations including splenectomy. The immune stimulating therapy in combination with antibiotics ++ is most effective after radical operations on the pancreas.
Assuntos
Pancreatectomia/efeitos adversos , Pancreatite/cirurgia , Peritonite/etiologia , Complicações Pós-Operatórias/etiologia , Sepse/etiologia , Doença Aguda , Adolescente , Adulto , Idoso , Antibacterianos/administração & dosagem , Humanos , Pessoa de Meia-Idade , Peritonite/prevenção & controle , Cuidados Pós-Operatórios , Complicações Pós-Operatórias/prevenção & controle , Sepse/prevenção & controleRESUMO
A comparative study of adsorbents with respect to their capability to absorb low- and medium-molecular metabolites was effected. The adsorbents displaying high activity in regard to low-molecular metabolites are shown to be insufficiently effective with respect to the medium-molecular ones and vice versa. The results thus obtained bear proof to the advisability of a preliminary selection of adsorbents for clinical application in hemocorption according to their activity as concerns low- and medium-molecular substances.