SU1477427A1 - Method of prevention and treatment in supurative infected wound cases - Google Patents

Abstract

The invention relates to medicine, namely to purulent surgery, and can be used in the treatment of wound and inflammatory processes complicated by purulent infection. The aim of the invention is to increase the effectiveness of antibiotics and antiseptics in the treatment of purulent-wound processes - achieved by simultaneously acting on the wound surface or projection of the pathological focus in the cavity (abdominal, pleural, bone) phonophoresis with an antibiotic solution and a constant magnetic field with induction on surface magnet 50 mt. The method allows shortening the treatment time for patients with peritonitis, pleurisy, hematogenous osteomyelitis, open bone fractures, wounds and purulent diseases of soft tissues (cellulitis, abscesses, paraproctitis, etc.) by an average of 3.4 days, with a treatment efficacy of 87, 6% of cases of disease.

Description

one

The invention relates to medicine, namely to purulent surgery, and can be used in the treatment of wound and inflammatory processes complicated by purulent infection.

The purpose of the invention is to increase the effectiveness of antibiotics and antiseptics in the treatment of purulent-wound processes by increasing the depth of penetration and increasing the concentration of the drug in tissues before

The method is carried out as follows.

After preliminary surgical treatment of the pathological focus (wound, abdominal or pleural cavity, bone cavity) with removal of pus,

fibrin, toxins, the cavity is filled with an antibiotic solution, through which the focus is treated with ultrasound with a resonant frequency of 26.5 kHz, with an amplitude of vibration of 0.05-0.06 mm, the exposure time for wounds is 10 s / cm, for cavities 2-3 s / cm and a distance of 5.0 ± 1 mm from the surface to be treated.

At the same time, a pre-sterilized ring-shaped magnet of the type MKM-2-1 with an inductance of 50 mT is placed on the working surface around the wound and the MP is operated all the time by phonophore a, while the distance from the magnet surface

before the pathological focus should not exceed 22 mm

When processing cavities, the magnets are fixed in the area of the projection of the pathological focus and move synchronously with the movement of the waveguide end. When treating wounds, a magnet is applied to the end of the waveguide and sounding the wound surface is performed through the hole in it. When processing bone cavities, the magnets are fixed with a mesh bandage to the skin in the projection of the cavity being voiced.

In the treatment of peritonitis, pleurisy, acute hematogenous osteomyelitis, in the surgical treatment of open fractures and wounds, phonomagnetisis phoresis is performed once intraoperatively as the final stage of the operation. 4-6 times a course of treatment.

Example 1. Vadim K, 3 years old, was admitted to the hospital on the 3rd day after the injury with a post-injection abscess in the right annual area that appeared after the administration of a 50% analgin solution to reduce the temperature that the child had due to with vaccination At admission the child's condition is of average severity, the temperature is 38.2 ° C, worriedly complains of pain in the area of the right hatch. On examination, edema, hyperemia infiltration with fluctuation in the upper outer quadrant on the right

Complete blood count: er0 4 -1 x x 101g / l, HB 118 g / l, color.pok, 0.9 lei -9.8-109 / l, segm, 51%, fell, 7%, lifm. 32%, mine. 10%, ESR 23 mm / h. The abscess is opened under anesthesia, up to 5 ml of thick pus is obtained. When the cavity of the abscess rushes, its focus at a depth of 2 cm. The abscess cavity is rinsed with hydrogen peroxide solution to remove pus and necrotic tissues; pk magnet UMC 2-1, the hole in which is combined with a cut on the skin. A device for ultrasonic treatment of infected tissues and a cavitating jet of 3% hydrogen peroxide solution with furatsilin 1: 5000 solution in a ratio of 1: 3 for 40 seconds was introduced into the opening and into the cavity of the abscess.

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bathed the cavity. After treatment of the abscess with antiseptic solutions for 90 s, the cavity was treated with monomycin solution (500,000 IU in 100 ml of saline). After rehabilitation, the wound was drained with a glove rubber strip and covered with aseptic dressing. General antibacterial therapy was not carried out. The next day, the child's condition improved, the night slept well, the dressing got soaked with purulent discharge, the temperature dropped to normal. On examination, perifocal hyperemia and infiltration decreased. For 3 days, the cavity was treated daily using the above method. On the 5th day, the wound was performed with granules, well epithelialized. On the 6th day, the child was discharged home with a normal blood test and temperature. Bacteriological examination of pus from an abscess before treatment resulted in pathogenic Staphylococcus aureus sensitive to erythromycin; after treatment, flora was not obtained

In the above extract from the history of the disease, the inductance of the magnetic field at the bottom of the wound was 12 mT, its surface increased to 50 mT

Example 2. Alexey K., 12 years old, entered the clinic 1 hour after the injury with a gunshot wound to the left hand with a traumatic amputation of the nail phalanges of the 1st fingers, softening of the soft tissues and an open fracture of the nail phalanx of the third finger The state of average heavy, pale, lips are dry, asks to drink. Pulse 120 / min satisfactory qualities, HELL 105/70 mm Hg On the brush blotted with blood dressing. Under anesthesia, primary surgical treatment of wounds was performed with the third finger fracture repositioned. The treatment was completed by voicing the wounds of the hand with moving the MKM 2-1 ring magnet over the ultrasound treatment object with 3.5% dioxidine solution for 3.5 minutes and ampicillin (1000000 EC in 150 ml 0.5 % solution of novocaine) 2 more minutes, Wounds are drained, gypsum immobilization, intramuscular antibiotics, analgesics, methylurocyl, diphenhydramine The cult of the II finger healed by primary healing, in the field of culture

ti I finger wound suppuration 6 days after injury, requiring repeated sanitization using magnetic tape recorder using the proposed method using a 0.2% chlorhexidine and kanomycin solution (50POOO ED in 100 ml of 0.5% novocaine) 1.5 min each Fifteen days after admission, the boy was discharged for outpatient fracture treatment.

In the above statement, the magnetic field inductance was 40 mT, skin and soft tissue loosening, an open finger CT fracture determined the tactics and outcome of the damage. The use of a magnetic field in the surgical treatment complex restored microcirculation, which was observed in the dynamics with a thermal imager, the damage was not complicated neither osteomyelitis nor phlegmon of soft tissues.

In general, the combined use of low-frequency phonophoresis and a constant magnetic field contributes to an increase in the penetration depth and

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concentrations of loklrgpeni inosta in tissues, the heating of the disturbed microcirculation, metabolism, as well as an increase in the nonspecific reactivity of the organism, which has a beneficial effect on the patient’s condition and the course of the wound process

Thus, the proposed method allows to potentiate the action of antibiotics, which contributes to shortening the treatment time for patients with purulent-infected wounds by 3.4 days with a clinical efficacy of 15 in 87.6% of patients.

Claims (1)

Invention Formula A method for the prevention and treatment of 2o patients with purulent wound infection, including local introduction of antibiotics by ultrasound into a lesion, characterized in that, in order to potentiate the 25 effects of antibiotics, the same inductance of 10-50 mT is simultaneously applied to the same area .