Medical management of severe local radiation injury after acute x-ray exposure

摘要

Medical management during acute period in a case of severe local radiation injury afteracute x-ray exposure includes 3 stages. During the fist stage patient got conservative treatmentaccording to the common pathogenetic mechanisms of LRI (disaggregating therapy, stimulation ofregeneration, disintoxication therapy, antibiotic therapy, pain relief therapy, Local anti-burn therapy -specific non-adhesive bandage with antiseptic and anti-burn medicaments); estimation of severity,deepness and area of injury by clinical picture and dates of instrumental methods of examining;defining necessity and volume of surgical treatment; preparing arrangements for surgical treatment.This stage ends with forming of demarcation line of a very hard severity of a Local Radiation Injure.The second stage includes necrectomy of the area of a very hard severity with microsurgical plasticby revascularized flap and autodermoplastic. The third stage - adaptation of revascularized flap andtotal epithelization of injured area.