Simbirtsev S A, Begishev O B, Konychev A V, Lebedeva T P, Morozov S N, Simonova L G
Khirurgiia (Mosk). 1993 Feb(2):53-6.
The case records of 259 patients with purulent surgical diseases are analysed. The following social groups of patients were distinguished; students--10.4%, office workers--20.5%, factory and agricultural workers--35.9%, lonely pensioners, invalids, and homeless persons--33.2%. The last named group is least socially protected, and the diseases in these cases have a characteristic course and outcomes. In the groups of students and office workers the disease is predominantly marked by the formation of abscesses with rapid resolution after an operative intervention. In the socially unprotected group with somatic diseases, poor nutrition, and absence of care, the purulent process takes a phlegmanous course calling for the use of antibiotics and immunostimulators. The percentage of rehospitalization among these patients is high (up to 20%) due, in many respects, to social factors.
分析了259例化脓性外科疾病患者的病历。区分出了以下患者社会群体:学生——10.4%,办公室职员——20.5%,工厂和农业工人——35.9%,孤寡退休人员、残疾人和无家可归者——33.2%。最后提到的这一群体社会保护最差,这些病例中的疾病有其特征性的病程和结局。在学生和办公室职员群体中,疾病主要表现为形成脓肿,手术干预后迅速消退。在社会保护不足、患有躯体疾病、营养不良且缺乏照料的群体中,化脓过程呈蜂窝织炎病程,需要使用抗生素和免疫刺激剂。这些患者再次住院的比例很高(高达20%),在很多方面是由社会因素导致的。