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[儿童弥漫性化脓性腹膜炎术后并发症的预防]

[Prevention of postoperative complications in diffuse purulent peritonitis in children].

作者信息

Bushmelev V A, Pozdeev V V, Nikolaev M V

出版信息

Khirurgiia (Mosk). 1994 Aug(8):56-9.

PMID:7990325
Abstract

A complex pathogenetic approach to the prevention of postoperative complications in generalized fibrinopyogenic peritonitis is suggested. It includes a wide operative access, one-stage cleansing with antiseptics and detoxification solutions, ultrasonic cavitation of the abdominal cavity, creation of laparostomy, local infiltration of the wound edges with 0.01% thymalin solution, correction of hemostasis disorders, and increase of the organism's general reactivity. With the use of this complex the results of treatment were significantly improved in 21 children and the number of complications was much less than in the control group of patients subjected to operation.

摘要

提出了一种针对广泛性纤维蛋白化脓性腹膜炎术后并发症预防的综合致病机制方法。它包括广泛的手术入路、用消毒剂和解毒溶液进行一期清创、腹腔超声空化、造口术、用0.01%胸腺肽溶液局部浸润伤口边缘、纠正止血障碍以及提高机体的一般反应性。使用这种综合方法后,21名儿童的治疗效果显著改善,并发症数量比接受手术的对照组患者少得多。

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