SU1717153A1 - Method for treatment functional intestinal obstruction in postoperative period - Google Patents

Abstract

The invention relates to medicine, in particular to surgery; The goal - the restoration of bowel function; patients resistant to other therapies. For this purpose, the lyophilized plasma in the amount of T-2 mg per IV of body mass of av is preliminary introduced to the patient by intraviolet scien ture with ultraviolet light in quartz capillaries with a diameter of 10 mm at a wavelength of 253.7 nm. With a power output of 11.2 W / m2. Thanks to the use of 10 methods, patients with functional intestinal obstruction in the postoperative period can restore the intestinal motor function and prevent complications.

Description

(L

WITH

The invention relates to medicine, in particular to surgery.

The goal is to restore intestinal function in patients resistant to other types of therapy.

The method is carried out as follows.

A patient with functional intestinal obstruction inside the vein is injected with lyophilized plasma in the amount of 1-2 ml per 1 kg of body weight, pre-irradiated with ultraviolet in quartz capillaries with a diameter of 10 mm at a wavelength of 253.7 nm, light output 11 2 W / m2.

Example 1. Patient Ch-Nov SM., 42 years old, was admitted to the clinic for blunt chest trauma.

X-ray examination revealed multiple fractures of 4-8 ribs on the left along the midclavicular line. In connection with the suspicion of organ damage to the abdominal cavity: a laparoscopy was performed during which blood was drawn in the abdominal cavity. Laparotomy was urgently produced. An extensive hematoma of the mesentery of the small intestine and the mesentery of the transverse colon was found. From the second day, the patient had the appearance of intestinal paresis, manifested primarily in abdominal distension, delayed stools and gas. Measures were taken to administer to the patient solutions of prozerin and galantamine, hypertonic solutions of sodium chloride and sodium bromide, calcium chloride, acupuncture was used. However, the effect was short-lived. After 24 hours, the patient has a picture of functional intestinal obstruction: a pronounced bloating is preserved, with tympanide percussion over the entire surface of the abdominal cavity, intestinal

4 v

-e

SP W

noises are not heard. At a review radiography the expressed pneumatosis of small and large intestines. The patient was intravenously injected with UV-irradiated donor plasma A / P / -150.0 ml (2% plasma from the BCC). After 2 hours, the patient at auscultation began to listen to intestinal noises, gases began to move. Abdomen decreased in volume. After 8 h there was an independent chair. In the future, the postoperative period was uneventful.

Example 2. Patient K-Shev Yu. M. 52 years old. entered the clinic about a giant postoperative hernia of the anterior abdominal wall.

On examination, the hernial gustation of 22x 20x22 cm is determined. The hernial gustation does not replenish into the abdominal cavity. Hernial ring reach at least 20 cm in diameter. After a comprehensive clinical and laboratory examination of a patient under an endotracheal anesthesia, a hernia repair was performed with anterior abdominal wall plasty with an autodermal flap. On the second day after the operation, they appeared, and on the third, the appearance of intestinal paresis, manifested in stool retention and gas, bloating, intensified. The patient was started on intestinal stimulation, consisting in the intravenous administration of hypertonic solutions of sodium chloride and bromide, glucose, calcium chloride, novocaine, followed by hypertonic enema. Intestinal noise appeared, gases began to move away, the general well-being of the patient improved.

However, after 6 hours, the abdominal distention, bursting with abdominal pain, again became troubling. The whole complex of conservative events was repeated, supplemented by

bilateral perirenal blockade, injection of galantamine and prozerin. No effect was obtained. 140.0 ml of A / P / donated plasma irradiated with UV rays was transferred to a patient intravenously. After 3 hours, the intestinal sounds began to auscultarily be determined, the gases had to leave, there was an independent stool. Subsequently, the postoperative period proceeded without impaired intestinal function.

The method was applied in 64 patients with functional intestinal obstruction in the postoperative period after unsuccessful attempts to restore the intestinal motor function with drugs and

by other means. Due to the restoration of bowel function, the percentage of postoperative purulent complications was halved from 57.8% to 28.1%. and the duration of treatment in the hospital was reduced by 3 days.

The formula of the invention. A method of treating functional intestinal obstruction in the postoperative period, including the introduction

drugs, characterized in that, in order to restore the function of the intestine in patients resistant to other therapies, plasma in the amount irradiated with ultraviolet rays is administered,

equal to 1-2% of the circulating blood of the patient.

Claims (1)

Claim A method of treating functional intestinal obstruction in the postoperative period, comprising administering 30 drugs, characterized in that, in order to restore intestinal function in patients resistant to other types of therapy, the plasma is irradiated with ultraviolet rays in a volume equal to 1-2% of the volume of circulating blood the patient.