Ranevye Surfaces Are Covered By A Dense Scab,

Ranevye surfaces are covered by a dense scab, easily bleed. Hem formation probably within last several months. In the remote terms (to 2 - 3 years) after a burn (a stage of late complications) on the first place in a clinical current act . From starvation the condition of the patient worsens ("Cicatricial narrowings of a gullet") see. Besides , development of a cancer, punching of a wall of a gullet and such complications, as a pneumonia, a lung abscess, , , pishchevodno-bronchial fistulas is possible. The URGENT HELP AT CHEMICAL BURNS of the GULLET And TREATMENT In the SHARP PERIOD the Urgent on-site assistance of incident. For removal of a pain by the patient introduction of drugs (, , etc.) is shown. For reduction and removals of a spasm of a gullet enter atropine, , . - Oral cavity washing, appointment preparations (a Dimedrol, , , etc.) is expedient. The important action directed on deducing and neutralisation of poison, washing of a stomach by means of a rubber probe is. Depending on character of the accepted substance for stomach washing use weak solutions of alkali or acid.

At All Patients With Suspicion On A Gullet

At all patients with suspicion on a gullet cancer it is shown . Depending on the anatomic form of a cancer the tumour kind happens various. Initial forms of a cancer can look - as or a polyp. At - to the form mark local the gullet walls, revealed at pressing by the end . At the further - progressing the hilly weight covered grayish or for a short while is visible to a tumour. The tumour surface - easily bleeds at a touch. There is a concentric or unilateral narrowing of a gleam of a gullet. At the ulcer form define a bleeding tumour with the rough - pitted edges. The infiltrirujushchaja form is shown a rough bleeding mucous membrane, - narrowing of a gleam of a gullet. it is easily realizable at tumours, it is more difficult to receive for research a fabric slice - at ulcer and a cancer. At the negative answer in doubtful cases it is necessary to repeat. At it is necessary to make also cytologic - research of a contained gullet and dabs from tumour area. Cytologic research in a combination with at the - majority of patients allows to confirm or reject the cancer diagnosis.

The Greatest Damages - First Of All Arise

The greatest damages - first of all arise in area furrows on a place guts a restraining ring. Eventually changes progress-. The restrained gut of sine-black colour, its serous cover dim, plural subserous hemorrhages. A gut flabby, not , vessels do not pulse. "Hernial water" muddy, character, has a smell. Nekrotichesky changes are accompanied by a gangrene of a wall of a gut, punching, development so-called a phlegmon and a peritonitis. At infringement of a gut it is considerably broken krovo - and not only in the restrained gut, but also in - resulting department of intestines. Owing to intestinal impassability intraintestinal pressure raises, gut walls - are stretched, squeezed veins, is broken -. The congestion in a wall and in gut cavities, overflow by its intestinal contents even more is aggravated with blood circulation infringements in connection with vnutriste-night arteries. First of all the mucous membrane on a considerable extent is damaged. From visible outside of border of the changed wall of a gut mucous membrane damage extends for 20 - 30 It see it is necessary to consider at definition of level of a resection of a resulting loop.

An Operational Wound Take In. In A Method

An operational wound take in. In a method basis the principle of simultaneous - injection is put - in a zone destroyed and inflamed an antiseptic solution and this solution together with the contents accumulating in a zone of a posttraumatic purulent inflammation. There are various methods at gullet damages. - during time - it is possible at integrity preservation pleurae-. At damages cervical and gullet departments - use with hermetic . At - wounds of chest department of a gullet with damage of mediastinal th pleura it is shown access with simultaneous and a pleural cavity. Extrapleural active it is possible at damages - and gullet departments. To the Tonic-nie active tight at a - gullet allows to replace operation with carrying out in a stomach a thin-walled silicone probe for feeding of the patient. The resection of the damaged gullet is shown only at - tumours or at its sharp cicatricial change during the first hours after punching at people young and middle age. GULLET FOREIGN MATTERS The reasons of hit of foreign matters in a gullet can be: a habit to hold various subjects in a mouth (at small children, at workers of some trades), Negligence in cooking and hasty meal, deliberate various - subjects mentally sick.

Pains Behind A Breast And In A Back

Pains behind a breast and in a back amplify, the short wind and a tachycardia accrues, the body temperature gets character, are replaced by down-pour sweats, formation of a hypodermic emphysema, cough occurrence at reception of liquid food is possible. , arisen in the sharp period, it can be shown by symptoms sharp , a pneumonia, a lung abscess. In hard cases in the presence of extensive surfaces on gullet walls probably development of a sepsis. The latent period is characterised by function infringement bodies that is caused by dystrophic - changes, albuminous starvation. By the end of month (a formation stage ) under the influence of treatment the burnt sites of a gullet heal. At 10 - 15 % of patients at radiological research find out absence longitudinal a mucous membrane, single or plural sites of narrowings of a gullet of various - extent. At 20 % of patients by the end of month of the phenomenon "alternating-" increase. At mark various extent the sites which healing - occurs inertly.