FEATURES OF DIAGNOSTICS OF PERFORATIONS OF HOLLOW ORGANS IN PATIENTS WITH INFECTIOUS DISEASES
https://doi.org/10.24884/2072-6716-2018-19-3-45-50
Abstract
The purpose of the study was to study the peculiarities of the diagnosis of perforations of hollow organs in patients with infectious diseases. The medical history of 113 patients treated in two hospitals of St. Petersburg in 2001–2011 was analyzed. It has been established that in infectious patients the symptoms of perforations of hollow organs are “blurred” against the background of vivid clinical manifestations of infectious diseases. Diagnostic laparoscopy (sensitivity 100%) and survey radiography of the abdominal cavity organs (sensitivity 86.5%) are the most informative of instrumental methods of research.
About the Authors
V. P. Zemlyanoy
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Vyacheslav P. Zemlyanoy
St. Petersburg
M. M. Nakhumov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Mihail M. Nakhumov
St. Petersburg
Yu. V. Letina
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Yuliya V. Letina
St. Petersburg
G. M. Magomedov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Gitihmad M. Magomedov
St. Petersburg
B. B. Namazov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Bekhizod B. Namazov
St. Petersburg
Sh. Sh. Shikhmagomedov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Shamil’ Sh. Shikhmagomedov
St. Petersburg
References
1. Savel’ev V.S., Filimonov M. I., Gel’fand B.R. et al. Vybor rezhima jetapnogo hirurgicheskogo lechenija rasprostranjonnogo peritonita. Ann. hirurgii, 2009, N 4, рр. 5–10 (in Russ.).
2. Boermeester M.A., Belt E., Lubbers M. J. et al. Planned relaparotomy or relaparotomy on demand for secondary peritonitis // Br. J. Surg. 2001. Vol. 88. S. 1. P. 27.
3. Kubachev K. G. Hirurgicheskie oslozhnenija ostryh kishechnyh infekcij (Klinika, diagnostika i lechebnaja taktika): dis. … d-ra med. nauk / Kubachev Kubach Gadzhimagomedovich. St. Petersburg, 2004. 321 р. (in Russ.).
4. Nahumov M. M. Diagnostika i ob#em operativnyh vmeshatel’stv pri flegmone i perforacii kishechnika na fone sal’monelleza i dizenterii: dis. … kand. med. nauk / Nahumov Mihail Mihailovich. St. Petersburg, 2001. 172 р. (in Russ.).
5. Borisov A. E., Zemljanoj V. P., Kubachev K. G., Kotljar V. L., Nahumov M. M. Flegmona i perforacija kishechnika na fone sal’monelleza i dizenterii. St. Petersburg: Izdatel’stvo Poligraficheskoe iskusstvo, 2003. 75 р. (in Russ.).
6. Zemljanoj V. P., Kubachev K. G., Nahumov M. M. Uroven’ i harakter perforacii kishechnika pri sal’monelleze i dizenterii v zavisimosti ot vida vozbuditelja. Shkola-Seminar «Aktual’nye problemy sovremennoj hirurgii», sb. rabot. St. Petersburg: Izdatel’stvo NII Himii SPb GU, 2000, рр. 33–34 (in Russ.).
7. Lisicyn K. M., Revskoj A. K. Neotlozhnaja abdominal’naja hirurgija pri infekcionnyh i parazitarnyh zabolevanijah. Moscow: Izdatel’stvo Medicina, 1988. 336 р. (in Russ.).
8. Shevchuk A. G. Differencial’n aja diagnostika ostrogo appendicita i brjushnogo tifa v uslovijah povyshennoj zabolevaemosti brjushnym tifom. Klin. medicina, 1987, No 8, рр. 69–72 (in Russ.).
9. Pokrovskij V. I. et al. Infekcionnye bolezni i jepidemiologija: uchebnik. 2-e izd. Moscow: Izdatel’stvo GEOTAR-Media, 2007. 816 р. (in Russ.).
Review
For citations:
Zemlyanoy V.P., Nakhumov M.M., Letina Yu.V., Magomedov G.M., Namazov B.B., Shikhmagomedov Sh.Sh. FEATURES OF DIAGNOSTICS OF PERFORATIONS OF HOLLOW ORGANS IN PATIENTS WITH INFECTIOUS DISEASES. EMERGENCY MEDICAL CARE. 2018;19(3):45-50. (In Russ.) https://doi.org/10.24884/2072-6716-2018-19-3-45-50
Views:
788
Email this article 