[Hypothermic sanation of intestine in patients with widespread peritonitis].
The results of treatment of 89 patients, suffering extended peritonitis, were analyzed. In the patients of the main group the intensive therapy was conducted on the background of hypothermic peritoneal--enteral sanation (HPES) and in a control one--using the conventional principles. While HPES performing the more rapid restoration of intestinal peristalsis was noted as well as the peritonitis and intoxication symptoms elimination. HPES secures more rapid elimination of endogenic intoxication syndrome, as well as the early stabilization of arterial pressure, the pulse, respiration frequency and the temperature of the patient body. In the main group the lethality had constituted 9.3% and in the control one--15.2%. The method of HPES is effective one, it corresponds perfectly to all pathogenetic aspects in treatment of extended peritonitis.
Gamzaev
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D000293:Adolescent; D000328:Adult; D000368:Aged; D001831:Body Temperature; D003131:Combined Modality Therapy; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D005769:Gastrointestinal Motility / Q000502:physiology; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods*; D007441:Intubation, Gastrointestinal / Q000379:methods; D008297:Male; D008875:Middle Aged; D010533:Peritoneal Lavage / Q000379:methods*; D010538:Peritonitis / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D012720:Severity of Illness Index; D016896:Treatment Outcome; D055815:Young Adult