These Substances Accept For The Purpose Of -

These substances accept for the purpose of - suicide or by mistake. Heavy damage of departments - of a digestive path happens also at reception of a solution of permanganate , , acetone. The mechanism of their action on a fabric other, than acids and alkalis. So, permanganate and operate on a fabric as oxidizers. At chemical burns of a gullet there can be simultaneously - burns of a mouth, a throat, a hypostasis of lungs, sharp respiratory - insufficiency. It happens at reception of acetic acid and liquid ammonia owing to them and at influence of steams of the concentrated acids and alkalis. Pathological anatomy: the most expressed changes arise in places of physiological narrowings - in - area , glotochno-pishchevodnogo , at level tracheas, over physiological . As a result of a chemical burn the oral cavity mucous membrane, drinks, a gullet, a stomach is damaged first of all. After and a mucous membrane hypostasis quickly comes - fabrics. By the end of 1st week tearing away sites from subject fabrics and formation superficial or deep begins.

The Main Task Of A "flowing" Method -

The main task of a "flowing" method - maintenance - of sufficient outflow separated of a wound Use - of powerful modern antiseptic tanks (, ) allows - to achieve utter annihilation microflora - effectively enough washing of wounds by solutions , - boric acid, a sodium hydrocarbonate. Advantages of the given - method : technical simplicity and availability. The method of active surgical treatment of sharp purulent - diseases includes probably early closing surfaces - by means of the primary, primary delayed, early secondary seams. The basic condition for suture on a purulent wound - is carrying out of high-grade surgical processing of a purulent wound or clarification by its chemotherapeutic means. The usual - central seam stitched through all layers of a wound, provides good adaptation of edges and wound walls. Carrying out (the general and local) should be a necessary component of complex treatment of patients. The antibiotic choice should be carried out taking into account sensitivity - to it of the activator.

Results Of Research Document By Means Of Roentgenograms,

Results of research document by means of roentgenograms, videorecording, . To specification of prevalence of tumours of a gullet and - their differential - diagnostics from formations apply (radiological research of bodies , contrasted by means of entered in - gas). To an estimation of a condition of walls of a gullet apply (radiological research at simultaneous - a gullet air in conditions ). If necessary resort to a tomography, allows to examine a gullet mucous membrane on all extent, precisely to make by means of special nippers from suspicious sites, to make dabs for cytologic research. Remote slices of a fabric subject to histologic research. rigid - apply with the medical purpose to extraction of foreign matters and for forced a - gullet. The important additional method of diagnostics of functional and some organic diseases of a gullet ( , , hernias apertures of a diaphragm-, etc.) is (graphic record of reductions and a tone of walls of a gullet and it ). At differential diagnostics of organic and - functional narrowings of a gullet apply tests with nitroglycerine, , .

Efficiency Judge Not Only On Subjective Sensations Of

Efficiency judge not only on subjective sensations of the patient, but also according to radiological and - researches During time and in a near time after it development of complications (rupture of a gullet with development , a sharp pishchevodno-gastric bleeding), - urgent measures demanding - acceptance is possible-. To early complications carry also insufficiency with development heavy a reflux-ezofagita In the nearest terms after excellent and good results mark almost at 95 % of patients, however in some years at 30 - 70 % of patients come the relapse demanding a refresher course of treatment. Operative treatment is symptomatic and is directed on elimination of impassability of pishchevodno-gastric transition. Indications to it are 1) impossibility to spend , 2) absence of therapeutic effect after repeated courses , 3) early the diagnosed ruptures of a gullet arising during expansion -, 4) expressed , developed after a restretching and not giving in to conservative therapy and , 5) sharp expansion, a S-shaped curvature - of a gullet in a combination to cicatricial changes in .

Or A Forward Wall Of A Rectum Arises

or a forward wall of a rectum arises at a congestion in a cavity of a small basin inflammatory at a peritonitis or blood at a bleeding ". SHARP STOMACH Sharp stomach (the reasons, the basic clinical signs, - diagnostic methods at different investigation phases of the patient). The term "a sharp stomach" designate clinical , developing at damages and sharp diseases - of bodies of a belly cavity at which it is required or the urgent surgical help can be demanded. The first medical inspection of the patient is often made out of a hospital (in-home or in polyclinic). A problem of primary elementary diagnostics is recognition of a dangerous situation - and necessity of urgent surgical treatment. At a sharp stomach the forecast worsens eventually, therefore the doctor is obliged to hospitalise quickly the patient in profile establishment - where in the near future to the patient necessary diagnostic and medical actions should be carried out. Even at suspicion on a sharp stomach it is necessary to hospitalise the patient urgently-.