CLINICODIAGNOSTIC FEATURES OF OTORHINOSINUSOGENIC INTRACRANIAL PYOINFLAMMATORY DISEASES COMPLICATED BY SEPSIS
| Autor: | Z. N. Shardanov, A. Yu. Shcherbuk, Yu. K. Yanov, A. N. Rubin, S. A. Artyushkin, V. A. Shatalov, A. A. Krivopalov, S. V. Shervashidze |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
RD1-811 business.industry otolaryngological specialized care 010102 general mathematics General Medicine medicine.disease 01 natural sciences neurosurgical specialized care Sepsis 03 medical and health sciences 0302 clinical medicine intracranial complications Medicine Surgery 030212 general & internal medicine 0101 mathematics business Intensive care medicine |
| Zdroj: | Вестник хирургии имени И.И. Грекова, Vol 175, Iss 6, Pp 13-19 (2016) |
| ISSN: | 2686-7370 0042-4625 |
| Popis: | The authors analyzed 60 clinical cases of follow-up study of patients aged 14 to 76 years old with otorhinosinusogenic intracranial complications and sepsis. Diseases of ENT organs were as the primary foci of infection-inflammatory processes. There were noted otitis media in 24 (40%) patients, rhinosinusitis - in 19 (31,7%) patients, combined purulent lesions of the middle ear and paranasal sinuses - in 17 (28,3%) patients. Purulent meningitis was diagnosed in 22 (46,7%) cases, purulent meningoencephalitis - in 38 (63,3%) patients. All treated patients were diagnosed with sepsis, including severe sepsis with multiple organ failure in 27 (45%) patients. The lethality consisted of 44,5% in group of patients with severe sepsis. The early diagnostics of systemic inflammatory response, sepsis, organosystemic disorders, practical application of modern algorithm of diagnostics and treatment, medico-economic standards of sepsis are necessary in order to start specialized intensive treatment on time. The patients should be transferred to septic center. Modern surgical and therapeutic methods must be applied. These approaches to treatment have a direct impact on the prognosis and outcome in each clinical case. |
| Databáze: | OpenAIRE |
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