Koplatadze A M, Bondarev Iu A, Egorkin M A
Khirurgiia (Mosk). 1994 Oct(10):12-5.
The authors had 80 patients, most of them (90%) of an old age, with anaerobic paraproctitis. Delayed hospitalization was encountered in 62 cases, in 16 of these cases an erroneous diagnosis had been established. Severe concomitant diseases complicated the course of anaerobic paraproctitis in 80% of cases (in each group of three patients one had diabetes mellitus). The authors describe characteristic clinical manifestations and the course of various forms of anaerobic paraproctitis, the results of bacteriological examination, and the order in which the surgical treatment is applied. They suggest a scheme of drug therapy which is maximally approximated to cleansing of a microbial cenosis, including ultraviolet irradiation of the blood. All these measures allowed the mortality rate to be decreased from 33.3% to 17.7%.
作者有80例患有厌氧性直肠周围炎的患者，其中大多数（90%）为老年人。62例患者存在延迟住院情况，其中16例曾被误诊。80%的病例中，严重的伴随疾病使厌氧性直肠周围炎的病程复杂化（每组三名患者中就有一名患有糖尿病）。作者描述了各种形式的厌氧性直肠周围炎的特征性临床表现及病程、细菌学检查结果以及手术治疗的应用顺序。他们提出了一种药物治疗方案，该方案最大限度地接近对微生物群落的清除，包括血液的紫外线照射。所有这些措施使死亡率从33.3%降至17.7%。
