Коррекция расстройств печени у больных с диабетическими гнойно-некротическими поражениями нижних конечностей

Аннотация

Purpose of reseach: to optimize outcomes of therapy of the patients SD, purulent - septic complicated of lower extremities (PSCLE), by monitoring, duly revealing of character disturbans of function of the liver and purposeful correction them in complex therapy of the specified pathological condition. Methods of research: clinical-biochemical researches, ECG, ultrasonic research of the liver, ultrasonic dopplerography, percutaneus definition a pressure (voltage) of oxygen, angiography, radionuclide researches, psichometric tests. The results achieved and their novelty: the carried researches have shown, that the liver is not one of the basic organs - targets at SD (at the expense of features it blood circulation), at decompenciation SD, complicated PSCLE, there is an essential infringement liver blood circulation in system lever artery, to the subsequent disturbance of its numerous functions. The inclusion in complex therapy hepatoprotectory, antioxygents and preparations blocking ALT activity is pathogenic proved and promotes optimization of outcomes such of complication SD, as PSCLE. Practical significance: the elaborated and offered complex therapy of the patients provides of optimization of outcomes, is an effective method of treatment and preventive maintenance of complications. Degree of introduction and economic efficiency: the results of research have been introduced into practice of branches intensive therapy and reanimation 2-clinic TMA and Republican Centre of Purulent Surgery and Surgical Complication of Sugar Diabetes Area of application: reanimation and intensive therapy, surgery.