闭合性腹部创伤的早期脓毒性并发症

N. Kravets, V. V. Izbytskiy
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引用次数: 0

摘要

工作的目的:研究和表征并发症的分类学形式及其发展的原因,并制定最佳的治疗策略。材料和方法:该研究涉及650名腹部创伤的受害者,他们在“扎波罗热急救医院”接受治疗。53例(8.15%)诊断为腹部并发症。腹部并发症的诊断基于临床资料、x线资料、腹腔CT、MRI、超声诊断、临床及生化分析。结果和讨论。介绍了手术干预的主要类型和术后治疗情况。它们是由治疗方案的战术和技术错误以及严重的腹部损伤引起的,这导致了体内平衡的紊乱。介绍了手术干预的主要类型和术后的治疗策略。术后腹部脓毒症并发症的多模块治疗,包括使用现代诊断和治疗方法,强化围手术期策略和体外解毒方法,将死亡率降低到3.2%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EARLY PURULENT-SEPTIC COMPLICATIONS IN CLOSED ABDOMINAL TRAUMA
The purpose of the work: To study and characterize the nosological forms of complications, as well as the causes of their development, and to develop optimal treatment tactics. Material and methods: The study involved 650 victims with abdominal trauma, who were treated at the “Zaporozhzhia hospital of emergency care”. 53 cases (8,15%) were diagnosed abdominal complications. Diagnosis of abdominal complications were based on clinical data, X-ray data, computed tomography (CT), magnetic resonance imaging (MRI) of the abdominal cavity, ultrasonography diagnostics (US), clinical and biochemical analyses. Results and discussion. The main types of surgical interventions, treatment during the postoperative period were described. They were caused by tactical and technical errors of the treatment program and severe abdominal injuries, wich caused disorders of homeostasis. The main types of operative interventions and treatment tactics during postoperative period are described Conclusions. The multimodular treatment of postoperative abdominal septic complications, that include using of modern methods of diagnostic and treated program, intensive perioperative tactic and extracorporal detoxication methods reduced mortality to 3,2%.
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