Nechaev E A, Gurevich K Ia, Kostiuchenko A L
Voen Med Zh. 1991 Dec(12):13-6.
A lot of specific injuries caused by catastrophes provoke endogenic intoxication. In this situation the application of extracorporal detoxication methods will be conditioned by pathogenetical mechanisms of their action. There are indications for ED management in mechanical injuries, prolonged squeezing effects, thermal injuries, acute poisoning, irradiation injuries, acute infectious diseases, acute reactivity state. The experience of 163 operations on 111 wounded in catastrophes proves the worth-while character of work in this sphere. 10 variants of extracorporal operations including combined methods were applied.
许多由灾难导致的特定损伤会引发内源性中毒。在这种情况下,体外解毒方法的应用将取决于其作用的病理生理机制。在机械性损伤、长时间挤压伤、热损伤、急性中毒、辐射损伤、急性传染病、急性反应状态等情况下,有进行体外解毒治疗的指征。对111名灾难伤员实施163例手术的经验证明了该领域工作的价值。应用了包括联合方法在内的10种体外手术方式。