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METHOD FOR SURGICAL TREATMENT IN PATIENTS WITH PURULENT-SEPTIC STATES
METHOD FOR SURGICAL TREATMENT IN PATIENTS WITH PURULENT-SEPTIC STATES
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机译:脓毒症患者的外科手术治疗方法
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FIELD: medicine, surgery. SUBSTANCE: one should carry out radical surgical sanitation of purulent-septic focus followed by its adequate draining. One should compensate the volume of circulating blood and general heparinization. One should carry out lymphatic drainage of tissues due to intravenous injection of rheopolyglukin. Extracorporal addition of donor's xenospleen is performed along veno-venous contour. Both patient's subclavicular veins are catheterized. Autoblood is directed into xenosplenic artery. Patient's blood is passed through xenosplenic vascular system in constant magnetic field at induction of 50 mTl for 55-60 min at 30-45 ml/min rate at total volume of 1600 ml, not less. Blood's output is conducted out of xenospleen through its vein. Laser irradiation of blood is carried out with low-intensity laser radiation for 55-60 min, at 0.63 mcm wave length, 1.8-2.0 mW power. When autoblood sampling is stopped, spleendeposited blood is removed with 400.0 ml ozonized Ringer-Locke's solution at 2-3 mg/l ozone concentration. After xenospleen is removed, one should introduce 0.03%- sodium hypochlorite solution at 30-40 drops/min rate and 200.0 ml volume. The present innovation enables to prevent entrance of toxins out of infection focus and remove already entered toxins from circulatory system. EFFECT: higher efficiency of surgical treatment. 4 cl, 2 ex, 1 tbl
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