[Twenty year experience in the treatment of peritonitis, multiple organ dysfunction syndrome in perforative ulcers].
The results of treatment of 573 patients, operated on the clinic for the period from 1981 to 2000 year for perforative gastroduodenal ulcer were analyzed. In 24 (4.2%) of them the necessity of relaparotomy performance for peritonitis, polyorgan insufficiency had occurred. In all patients complex intensive therapy, intestinal decompression, flowing peritoneal dialysis were conducted, in 10--the governed laparotomy. In 9 patients plasmapheresis was performed, in 8--drainage of ductus thoracicus with lymphosorption, in 7--xenosorption. Application of complex treatment equally with active detoxication in patients with peritonitis, polyorgan insufficiency have allowed to achieve recovery in 66.6% of them.
Verkhuletskiĭ
I E
IE
Papazov
F K
FK
Medvedenko
A F
AF
Piliugin
G G
GG
Osipov
A G
AG
D000368:Aged; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D010437:Peptic Ulcer / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D010439:Peptic Ulcer Perforation / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000379:methods; D010538:Peritonitis / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D010956:Plasmapheresis / Q000379:methods; D012189:Retrospective Studies