THE USE OF MODS SCALE IN PROGNOSING LITHAL OUTCOME IN VICTIMS WITH MULTIPLE ORGAN DYSFUNCTION

With the purpose to improve therapeutic-diagnostic measures at a hospital stage a multifactorial analysis of clinical-laboratory findings in 119 victims with abdominal multiple organ trauma was made on the basis of calculations by MODS scale. The value of abdominal perfusion pressure was detected as a predictor of functional complications in the development of traumatic process, and it was introduced with modification of MODS scale to prognosticate the term of lethal outcome. A strong correlation relation is noted according to defined by us experimental MODS (N) scale with the parameters of a bed-day in prognostication of the term of treatment in the group of victims who succeeded in their recovering (rP = 0,89), and those victims who died (rP = –0,69)

ABDOMINAL SEPSIS AND ACUTE RESPIRATORY DYSFUNCTION

The aim of the study is to find changes of the functional state of the respiratory system in abdominal sepsis (AS) patients. Seven patients with AS and 9 control group patients after planned surgery have been compared. рО2/рСО2 after ventilation test and 5 min respiration with 100% O2 are most indicative. The conclusion is drawn concerning the necessity to correct treatment tactics of such patients including oxygen enriched therapy into the protocol of treatment

MORPHOLOGICAL CHANGES IN PURULENT-NECROTIC PROCESSES OF SOFT TISSUES IN PATIENTS IN LOCAL APPLICATION OF SORBENT-ANTIBIOTIC COMPOSITION

Local use of sorbent-antibiotic composition reduce the duration of exudation phase and actively reduce wound surface and formation of new granulation tissue, destruction and lysis of newly formed epithelium is absent

AN EXPERIMENTAL STUDY FOR CALCULATING PATIENTS SEVERITY STATUS IN EMERGENCY SURGERY

Prognostic evaluation of the effectiveness of scoring pathologic conditions was studied by simulating abdominal sepsis in experiment. The application of scoring systems with a prognostic purpose is advisable for using under clinical conditions. It is expedient to combine different evaluation systems with the aim of enhancing prognos¬tic reliability and optimizing the treatment tactics

Die Enterosorption Verwendung In Der Behandlung Von Dynamic Darmverschluss Bei Der Patienten Mit Akute Destruktive Pankreatitis.

In 50 Patienten mit dynamischen Darmverschluss durch akute Pankreatitis destruktiven beobachtet die dynamischen Änderungen der fibrinolytischen Blutsystem in der Anwendung Enterosorption Droge "ENTEROSGEL" in de

THYROID HORMONES INFLUENCE ON PRIMARY HAEMOSTASIS STATUS AND CERTAIN ENZYME SYSTEMS IN LOCAL FORMS OF PERITONITIS

One of the main significances in postoperative changes in biochemical and enzymes criterion of the pathology of the organs depends to T-3, the decreasing of level of which in blood plasma is related to disorders in peripheral T-4 monoiodising and depends on the level of the organisms intoxication. The influence of T-3 on the process of intraanginal blood coagulation is realizing on the level of the vessel component (synthesis of PGI2) primary haemostasis with following secondary increasing of functional antagonism in prostacycline-tromboxan system of regulation of the trombocytal-vessel haemostasis. The correction method for postoperative hypothyreosis, disorders in blood aggregation status regulation and polyorganic insufficiency syndrome was investigated. It¢s based on the enteral use of thyreoidine, itс efficacy is clinically proved in patients with local peritonitis