| Abstrakt: |
Presented the experience of treatment of 189 patients with a phlegmon of hand. Conducted multifactorial analysis of the importance and influence on the outcome of disease and prognosis of each of the indicators used to determine the severity of the pathological process. Proved that individual determination of the severity and prognosis of the disease allows correcting choice of treatment methods, to evaluate the probability of complications development and to determine timing and amount of outpatient rehabilitation. Complex of clinical and laboratory methods and ray studies allowed to differentiate medical tactics depending on the location, extent and severity of the pathological process. Diferentiated approach allowed to optimize the schemes and determine indications for immunomodulators, systemic enzyme therapy, and indirect lymphotropic therapy. In 70,9% of cases good resonse to the treatment in patients'with a phlegmon of hand was obtained, in 22,7% satisfactory response to the treatment and only in 6,3% of cases response to the treatment was unsatisfactory (including deep and combined phlegmons). Obtained results allow to recommend developed treatment and diagnostic algorithm for using in clinical practice. |
