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运动系统创伤性化脓性并发症的综合吸附疗法

Complex sorption therapy of locomotor system traumatic suppurative complications.

作者信息

Ternovoy K S, Bulakh A D, Kosyakov A N

机构信息

Kiev Research Institute of Orthopedics, USSR.

出版信息

Biomater Artif Cells Artif Organs. 1987;15(1):31-9. doi: 10.3109/10731198709118506.

Abstract

Complex sorption therapy efficacy in treating 271 patients with suppurative complications of extremity traumas is analyzed. All patients underwent 1-3 enterosorption courses, the wounds were treated with application of sorbents against the background of traditional therapy. In the event of aggravating intoxication, developing first symptoms of sepsic condition, or the desease chronic course 1-5 hemosorption sessions were performed. Clinical and laboratory-instrumental examination demonstrated positive effect of the complex of sorption methods on the patient' general state, temperature curve dynamics, blood indices, microcirculation, function of liver, kidneys, and immune system status. Pathogenic flora stability decreased, wound cleaning and healing was 1.5 times faster. The total therapeutic period was 28% shorter compared to the control group of patients, treated without sorption methods.

摘要

分析了复合吸附疗法治疗271例四肢创伤化脓性并发症患者的疗效。所有患者均接受了1 - 3个肠吸附疗程,在传统治疗的基础上,使用吸附剂处理伤口。若出现中毒加重、脓毒症状态的早期症状或疾病慢性病程,则进行1 - 5次血液吸附治疗。临床和实验室仪器检查表明,吸附方法组合对患者的总体状态、体温曲线动态、血液指标、微循环、肝脏和肾脏功能以及免疫系统状态有积极影响。致病菌群稳定性降低,伤口清洁和愈合速度加快1.5倍。与未采用吸附方法治疗的对照组患者相比,总治疗期缩短了28%。

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