Hemosplenoperfusion in the complex treatment of diffuse purulent peritonitis
Yu. V. Bondarev , R. A. Zulkarneev , O. D. Zinkevich , A. H. Chugunov , N. A. Safina
Kazan medical journal ›› 1993, Vol. 74 ›› Issue (2) : 155 -158.
Hemosplenoperfusion in the complex treatment of diffuse purulent peritonitis
Currently, some progress has been achieved in the treatment of diffuse purulent peritonitis (RP), associated with the use of new antibiotics and their routes of administration (intraperitoneal, endolymphatic, lymphotropic), as well as with the use of hemosorption and plasmapheresis. Nevertheless, mortality in this pathology is still quite high and, according to our observations, is 50-60%, which is largely due to pronounced endogenous intoxication. In turn, the latter leads to inhibition of the absorptive function of the liver and spleen, which may be associated with the functional state of macrophages of these organs and with a deficiency of opsonic factors due to their consumption.
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Bondarev Y.V., Zulkarneev R.A., Zinkevich O.D., Chugunov A.H., Safina N.A.
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