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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

Vyacheslav P. Zemlyanoy

St. Petersburg




M. M. Nakhumov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation

Mihail M. Nakhumov

St. Petersburg




Yu. V. Letina
North-Western State Medical University named after I.I. Mechnikov
Russian Federation

Yuliya V. Letina

St. Petersburg




G. M. Magomedov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation

Gitihmad M. Magomedov

St. Petersburg




B. B. Namazov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation

Bekhizod B. Namazov

St. Petersburg




Sh. Sh. Shikhmagomedov
North-Western State Medical University named after I.I. Mechnikov
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

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