SU1210810A1 - Method of controlling intoxication in case of acute ischemia of extremity - Google Patents

Description

one

This invention relates to medicine, namely to surgery.

The aim of the invention is to reduce the lethality by improving the elimination of toxic substances by the flow of a perfusion solution with a massage complex.

Under clinical conditions, in acute ischemia of the extremity of various etiologies, in one third of cases it was possible to prevent a lethal outcome.

The method is carried out as follows.

A fasciotomy and subsequent regional perfusion (RP) is performed with a solution at a pressure of 80-90 mm Hg until the infusion solution is clarified, after which a deep & massage is performed through longitudinal incisions against the background of continued perfusion until the solution is clarified again.

Example. Patient S., 51 g, was admitted with a diagnosis of prolonged compression of the left tibia, closed fracture of the left fibula. When angiography revealed a break in the main blood flow at the level of the popliteal artery. Under endotracheal anesthesia, a 20 cm long incision is made in the lower third of the left thigh and in the popliteal maca.

1210810

The popliteal artery and vein are in place. The artery is opened, the thrombus is removed. A harness is applied to the middle third of the thigh and the RP of the limb is carried out with

5 of the aid of a disposable blood transfusion system, to an air needle of which a blood pressure monitor is connected. The composition of the perfusion fluid ml:

10 b, 25% novocaine 100.0; 0.9% physiological solution 400.0, 5% glucose 200.0; fibrinolysin 1.0} heparin 20 thousand, ED; 3.66% trisamine 100.0; reopoliglyukin 100.0;

15 hemodez 100.0, but the dose is increased to 3 lit. Two linear cuts (up to 20 cm) — fasciotomy — are made on the inner and outer shin, - Against the background of the continuing RP

20 started manual massage of the speakers in the wound of the child. Duration of RP 40 min. Flowing vein fluid discolored. The vessels are sutured. Remove the harness. On the back surface

Thighs and popliteal medule are watered down tightly with aseptic dressing on the legs. Shin wounds are healed by secondary tension. In satisfactory condition

30 discharged. The function of the limb is satisfactory.

Editor M. Kelemesh Order 570/7

Compiled by M., - Pozn to

Tehred A.Ach Proofreader A. Obruchar

Circulation 659 Subscription VNIIPI USSR State Committee

for inventions and discoveries 113035, Moscow, Zh-35, Raushsk nab., 4/5

Branch PPP Patent, Uzhgorod, st. Project, 4

Claims (1)

METHOD OF FIGHTING INTOXICATION IN ACUTE EXTREME ISCHEMIA, including perfusion of an isolated organ with solutions, characterized in that, in order to reduce mortality, fasciotomy and subsequent regional perfusion are performed to clarify the infusion solution, and then a deep massage through longitudinal sections against the background of perfusion solution.