Zimina L N, Zvezdina M V, Vasina T A
Anesteziol Reanimatol. 1998 Nov-Dec(6):45-9.
A total of 114 autopsy specimens and 34 specimens of surgical material from patients with the myorenal syndrome are analyzed. All patients had symptoms of acute renal (hepatorenal) failure which caused death during the first two weeks of the disease. In later periods, death was caused by septic complications. Manifest morphological changes, caused by injuries, metabolic disorders, or sepsis were detected in many organs and tissues in all cases. The sources of septic complications were wounds, decompression incisions, fasciotomies, shunts, and catheters. After combined therapy of wounds with adsorbents, antibiotics, proteolytic enzymes, and laser exposure the bacteria lost their virulence and died and the wounds were cleansed.
对114份尸检标本和34份来自患有肌肾综合征患者的手术材料标本进行了分析。所有患者均有急性肾(肝肾)衰竭症状,在疾病的前两周内导致死亡。在后期,死亡由败血症并发症引起。在所有病例中,许多器官和组织均检测到由损伤、代谢紊乱或败血症引起的明显形态学变化。败血症并发症的来源包括伤口、减压切口、筋膜切开术、分流管和导管。在用吸附剂、抗生素、蛋白水解酶和激光照射联合治疗伤口后,细菌失去毒性并死亡,伤口得到清洁。