Khirurgiia
-
Randomized Controlled Trial Comparative Study
[Clinicopathologic basis of ozonomagnetophoresis in treatment of festering wounds].
Results of treatment of 60 patients with festering wounds were comparatively studeid. According to the mode of local treatment the patients were divided into 2 groups: wound irrigation with ozone was carried out in the first group; in the second group local ozone therapy was carried out in combination with low-frequency magnetic fields--ozonomagnetophoresis. Bactericidal effect and antibiotic susceptibility of microflora is more marked using ozonomagnetophoresis. Tendency to purulo-necrotic tissue rejection from wound surface, regress of inflammation exudative stage with natural forming of granulation tissue in relatively short terms, its accelerated maturing and reparation are histologicaly marked.
-
Comparative Study
[The efficacy of alteplase in pulmonary embolism treatment].
The results of pulmonary embolism treatment with streptase in 76 patients are discussed. All patients had submassive or massive pulmonary embolism. 66 (86%) of patients recovered. ⋯ Authors consider alteplase to be highly effective in the treatment of massive pulmonary embolism. In case of late diagnostics of pulmonary embolism, especially recurrent, thrombolytic therapy remains to be effective up to 2 weeks after primary embolization.
-
It is offered to use laser Doppler fluometry indices at the acute stage of burn disease for diagnostics of lesion depth, as a criterion for degree of shock severity and its ending, for evaluation of the surgical treatment influence on clinical course of burn disease, and also at different stages of wound closing with complex temporary pedicle flap. Methods and criterions of microcirculation study during the period of burn shock, and also in burn re-convalescents are defined for evaluation of conservative treatment efficacy and state of microcirculation in forming scars. Application of laser Doppler fluometry contributes to reduction of surgical operations number, duration of stay in the hospital, improvement of aesthetic treatment results. Laser Doppler fluometry indices can serve as a criterion of conservative therapy efficacy, contribute to timely correction of rehabilitation plan.
-
Intravenous colloid and crystalloid solutions are the mainstay of the acute bleeding therapy. Infusion therapy normalizes the blood circulation volume and improves its flow characteristics. The conducted study revealed that the method normovolemic hemodilution lead to an early unknown type of oxygen insufficiency called the dilutional anemic hypoxia. Authors set up and proved the hypothesis, that decompensated dilutional anemic hypoxia lead to cardiac insufficiency, leading finally to the so called dilutional circulatory hypoxia.