The Clinico-Rheological Status of the Soft Tissue Surgical Infection
| Autor: | M. M. Ryabov, V. L. Komlev, A. L. Chistyakov, A. B. Larichev, A. V. Muravyov, A. A. Dylenok |
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| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Vestnik of Experimental and Clinical Surgery. 9:43 |
| ISSN: | 2409-143X 2070-478X |
| DOI: | 10.18499/2070-478x-2016-9-1-43-52 |
| Popis: | Relevance The problem of treatment of the soft tissue infection is connected with features of the hemorheological status. Its multicomponent assessment will allow proving the pathogenetic importance of the haemo corrective means allowing to make a positive impact on effectiveness of surgical treatment of patients with such pathology. The purpose of the study Is to represent a comparative assessment of the clinico-rheological status at treatment of the soft tissue surgical infection of the anterior abdominal wall and maxillofacial area. Materials and methods Results of treatment of 73 patients with pyoinflammatory pathology of the anterior abdominal wall (36 cases) and on the face and neck (37 cases) are analyzed. To assess the wound process clinico-laboratory indicators were used, and also there were used the hemorheological profile including viscosity of blood at high and low speeds of shift, viscosity of plasma, corpuscular volume, viscosity of coarse dispersion and the indicator of aggregation of erythrocytes, indexes of their lengthening and rigidity, and also the index of oxygen transport efficiency. Results and discussion In the setting of the purulent process in the anterior abdominal wall significant changes of the haemorheological profile concern strengthening of erythrocyte aggregation, the expressed increase of blood viscosity at rather low speeds of the shift, reduction in deformability of red blood counts and the index of oxygen transport efficiency in blood. Within 7 days the tendency of stabilizing indicators is observed, however, macrorheological characteristics are not normal, and it testifies that there are suppurative changes of the homeostasis. In cases of septic diseases in the face and neck, qualitative and quantitative indicators of the estimated criteria are comparable to parameters of the rheological status of patients of the previous group. The traditional complex of remedial actions is followed with the greatest correction by the indicator of erythrocyte aggregation. It concerns, in a less degree, the blood viscosity at high and low speeds of the shift, and also viscosity of erythrocyte coarse dispersion and the index of oxygen transport efficiency in blood (p>0,05). Summary The surgical infection of soft tissues is characterized by changes of all indicators of the haemorheological profile. In the course of treatment they are corrected without achieving the norm and that increases the risk of the development of local complications. When there is a septic disease of the cell areas of the face and neck, rheological shifts have smaller expressiveness, and their correction has a prolonged character. Key words nfection of soft tissues, haemorheology, surgical service. |
| Databáze: | OpenAIRE |
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