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[伤口感染的治疗难点及化脓性伤口的并发症]

[Difficulties in the treatment of wound infection and complications of suppurative wounds].

作者信息

D'iachenko P K

出版信息

Vestn Khir Im I I Grek. 1982 Nov;129(11):19-26.

PMID:7157589
Abstract

The investigation of sepsis and a number of complications of purulent wounds in 336 patients has shown the expediency to distinguish three stages of the microbial and metabolic toxemia. The third stage of toxemia is found to be the most dangerous (terminal) one. The lethality rate by the data of different scientists can reach 95%. The effective antiseptic method was found to be microvasoplegy, forced antiseptics (antibiotics) with forced diuresis or peritoneal dialysis. The third stage of toxemia with multiple metastases gave poor results after treatment by all the routine methods.

摘要

对336例脓毒症及化脓性伤口多种并发症的调查表明,区分微生物和代谢性毒血症的三个阶段是合理的。发现毒血症的第三阶段是最危险的(终末期)阶段。根据不同科学家的数据,致死率可达95%。有效的抗菌方法是微血管阻断术、强力利尿剂(抗生素)并配合强力利尿或腹膜透析。常规方法治疗后,伴有多处转移的毒血症第三阶段效果不佳。

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