Khirurgiia
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Highs and lows of infusion therapy for the treatment of the acute blood loss were studied experimentally and in clinic. Colloid and crystalloid solutions, being hemodilutants, do not transport oxygen, causing, therefore, several complications in recipient's organism. Dilutional anemic and lead to heart insufficiency, which, by-turn, cause the so called dilutional circulatory hypoxia.
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Comparative Study Controlled Clinical Trial
[Diagnostics and treatment of sepsis in the acute phase of severe heat injury].
A prospective non-randomized, single-centered controlled study aimed the optimization of treatment and diagnostic algorithm of the early burn sepsis. 47 patients were included. The combination of bacterial wound colonization and procalcitonin blood level > or =2 ng\ml was the reliable marker of the early burn sepsis and indicates the necessity of de-escalation antibiotic therapy.
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The aim of the study was to substantiate the conservative treatment of closed spleen injuries in children. Laparoscopic method was used in 42 patients and conservative protocol was observed in 36 cases. ⋯ Splenectomy was performed once due to continuent bleeding in group of conservatively treated patients. Long-term follow-up results demonstrated absence of clinical signs of adhesive obstruction and spleen pseudoaneurisms, free blood dissolution from the abdominal cavity during 1-6 months after treatment.
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147 patients with polytrauma, complicated by acute large-volume intraabdominal bleeding, were included in the study. Anesthetic regimens and blood loss compensation were retrospectively analyzed. ⋯ Intraoperative autoblood reinfusion allowed an adequate blood loss compensation. The method should be considered a method of choice by acute blood loss treatment during emergency operations in patients with polytrauma.