[Intravascular photohemotherapy in the complex prophylaxis of purulent-septic complications after coronary shunting].
The article presents results of treatment of 78 patients with the history of coronary bypass operations for ischemic heart disease. There were 48 patients with high risk factors of the development of pyo-septic complications. Among them there were 27 patients treated by complex postoperative therapy including intravascular photomodification of blood. The intravascular irradiation of blood was shown to have a positive influence upon the development of the early postoperative period in this category of patients. The immunomodulating effect was noted due to a greater amount of activated lymphocytes and T-helpers in blood. The positive dynamics of immunological indices were in correspondence with the data of the clinical state, pyo-inflammatory complications were not registered in this group of patients. Early (on the 3rd-5th days) inclusion of the intravascular irradiation of blood in the complex postoperative therapy is thought to be expedient for the patients with high risk of pyo-inflammatory complications.
Khubulava
G G
GG
Borisov
I A
IA
Chechetkin
A V
AV
Volkov
A M
AM
Nikolaeva
O A
OA
Kas'ianov
A D
AD
D000328:Adult; D000368:Aged; D001769:Blood; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006801:Humans; D008213:Lymphocyte Activation / Q000528:radiation effects; D008297:Male; D008875:Middle Aged; D010789:Phototherapy; D011183:Postoperative Complications; D018805:Sepsis / Q000097:blood / Q000517:prevention & control*; D006377:T-Lymphocytes, Helper-Inducer / Q000276:immunology / Q000528:radiation effects