PREVENTIVE MAINTENANCE OF POSTOPERATIVE PNEUMONIA IN EMERGENCY ABDOMINAL SURGERY
Abstract
Aim. To study the main causes of postoperative pneumonia in abdominal surgery and to develop methods of prevention and treatment.
Materials and methods. The results of complex diagnostics and surgical treatment of 310 patients with postoperative pneumonia were analyzed in this study. All patients were divided into 2 groups. The control group included 120 (38.7%) patients, which were treated by traditional methods. The main group included 190 (61.%) patients that underwent modern approaches of diagnosis and treatment.
Results and discussion. 132 patients underwent comprehensive X-ray examination where bronchopneumonia was observed in 78% of cases and chronic bronchitis in 22% of cases. The most severe course of pneumonia was observed in 42 patients with the intraabdominal pressure of more than 20 mmHg. In 32 patients with an average severity of the condition, the intraabdominal pressure was 12 mmHg with the oxygen saturation of 92±2.2%. In addition, duration of the surgery, duration of the mechanical ventilation (n=23), and the presence of hospital infection were counted as predisposing risk factors for postoperative pneumonia. To prevent the development of postoperative pneumonia, antegrade intubation method of the small intestine (n=11) which is performed by appendicostomy was developed. In the postoperative period, ofloxacin was inhaled twice a day in addition to the antibiotic therapy.
Сonclusion. Thus, early diagnosis and prevention of postoperative pneumonia of urgent abdominal pathology are greatly improving the immediate results of these patients treatment.
About the Authors
D. A. Abdulloev
Department of general surgery №2 Tajik State Medical University named after Abuali Ibni Sino
Tajikistan
Tajikistan
D. E. Majitov
Department of general surgery №2 Tajik State Medical University named after Abuali Ibni Sino
Tajikistan
Tajikistan
M. K. Bilolov
Department of general surgery №2 Tajik State Medical University named after Abuali Ibni Sino
Tajikistan
Tajikistan
Bilolov Mukhammad Kandilovich - the candidate of medical science, assistant
тел.: +992 93 459 09 09
Sh. Sh. Sayfudinov
Department of general surgery №2 Tajik State Medical University named after Abuali Ibni Sino
Tajikistan
Tajikistan
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Review
For citations:
Abdulloev D.A., Majitov D.E., Bilolov M.K., Sayfudinov Sh.Sh. PREVENTIVE MAINTENANCE OF POSTOPERATIVE PNEUMONIA IN EMERGENCY ABDOMINAL SURGERY. Health care of Tajikistan. 2018;(1):5-9. (In Russ.)
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