osnovnie printsipi operativnogo lecheniya gnoynix protsessov

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powerpoint presentation lektsiya № 4 tema lektsii osnovnie printsipi operativnogo lecheniya gnoynix protsessov. basic principles of surgical treatment purulent process lektor: professor shamirzaev n. x. vvedenie vvedenie antibiotikov v meditsinskuyu praktiku v seredine xx v. porodilo uverennost, chto s ix pomoshyu budet reshena problema xirurgicheskoy infektsii. odnako eta nadejda ne opravdalas – na smenu optimizmu prishlo razocharovanie. vozrosshaya ustoychivost stafilokokkovix shtammov k ryadu antibiotikov vnov zastavila rassmatrivat problemu lecheniya gnoynix xirurgicheskix zabolevaniy kak odnu iz glavneyshix v xirurgii. v rezultate shirokogo primeneniya antibiotikov i poyavleniya antibiotikoustoychivix mikroorganizmov izmenilis simptomi i techenie gnoynix protsessov, vozrosla chastota oshibki v diagnostike gnoynix zabolevaniy, uvelichilos chislo oslojneniy (gnoynix zatekov, vtorichnix ochagov, sepsisa). krome togo, sleduet priznat, chto menshe stalo udelyatsya vnimanie izucheniyu i otsenke topografo-anatomicheskix osnov klinicheskix proyavleniy i putey rasprostraneniya gnoynix protsessov. introduction the introduction of antibiotics into medical practice in the middle of the xx century. it has generated confidence that with …

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cal manifestations and pathways purulent processes. gnoyno-septicheskie zabolevaniya ili oslojneniya nablyudayutsya primerno u treti obshego xirurgicheskogo kontingenta bolnix i, pojaluy, ni odin praktikuyushiy vrach ne mojet izbejat vstrechi s gnoynimi zabolevaniyami i ix oslojneniyami. izuchenie topograficheskoy anatomii fastsiy i kletchatochnix prostranstv predstavlyaet vajnoe znachenie dlya ponimaniya dinamiki razvitiya gnoynix protsessov dlya drenirovaniya flegmon i abstsessov. v etom aspekte doktrinu v. f. voyno-yasenetskogo, izlojennuyu v zamechatelnom proizvedenii «ocherki gnoynoy xirurgii» (medgiz, 1946) mojno nazvat ventsom xirurgicheskoy aktivnosti pri lechenii flegmon i abstsessov do vnedreniya v praktiku antibiotikov. v nastoyashee vremya vopros o lechenii ostrix gnoynix protsessov, osobenno v oblasti kisti i paltsev, stavit pered prakticheskim vrachom slojnie zadachi po uluchsheniyu rezultatov lecheniya etix zabolevaniy, preduprejdeniyu generalizatsii septicheskix protsessov i snijeniyu invalidizatsii bolnix. pri vsex usloviyax rannyaya operatsiya s drenirovaniem razvivayushegosya gnoynogo ochaga v kletchatochnom prostranstve ili suxojilnom vlagalishe konechnostey yavlyayutsya naibolee effektivnim metodom lecheniya, izbavlyayushim ot dalneyshey nekrotizatsii okrujayushix tkaney i …

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cs. currently, the question of the treatment of acute purulent processes, especially in the wrist and fingers, poses challenges practitioners to improve the results of treatment of these diseases, the prevention of septic generalization processes and reduce the disability of patients. under all conditions early surgery with drainage of purulent focus in the emerging cellular spaces or tendon sheath limbs are the most effective treatment to get rid of further necrotization surrounding tissues and intoxication. tsel lektsii the purpose of the lecture dat topografo-anatomicheskie obosnovaniya nekotorix simptomov i putey rasprostraneniya gnoynix protsessov. give topographic anatomical study of some symptoms and pathways purulent processes. gnoyno-vospalitelnie protsessi oni razvivayutsya i rasprostranyayutsya v podkojnoy i mejmishechnoy kletchatke, po xodu futlyarov sosudisto-nervnix puchkov, po fastsialnim futlyaram i mejfastsialnim shelyam, cherez mejmishechnie promejutki i t.d. chtobi legche ponyat zakonomernosti rasprostraneniya gnoynix protsessov, mojno vse vozmojnie puti rasprostraneniya gnoya iz pervichnogo ochaga v sosednie oblasti razdelit …

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estroying the anatomical structures and elements, with the gradual "melt" fat in natural interfascial and intermuscular intervals, often in the direction of gravity. the connective tissue, adipose tissue is the locus minoris resistentiae, by which applies the pus. vtorichnie – soprovojdayutsya razrusheniem anatomicheskix elementov i struktur, prorivom gnoya iz odnix otnositelno zamknutix fastsialnix futlyarov ili mejmishechnix promejutkov v sosednie. secondary - accompanied by the destruction of the anatomical elements and structures, a breakthrough of pus from one relatively closed fascial sheaths or intermuscular spaces in the neighboring. pervichnie puti rasprostraneniya gnoynix protsessov osnovnie pervichnie puti rasprostraneniya gnoynix protsessov opredelyayutsya napravleniem fastsiy, vdol kotorix «rastekaetsya» gnoy (gnoyniy zatek). fastsii otlichayutsya drug ot druga strukturno-funktsionalnimi osobennostyami, kotorie yavlyayutsya otrajeniem protsessa razvitiya. v zavisimosti ot istochnika proisxojdeniya razlichayutsya 4 osnovnie gruppi fastsiy: soedinitelno-tkannie; mishechnie; tselomicheskie; paraangialnie. depending on the source of origin of different fascia 4 main groups: connective tissue; muscle; coelomic; paraangial. …

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sii obrazuyutsya: a) za schet pererojdeniya kontsevix otdelov mishts, (ladonniy aponevroz, podoshvenniy aponevroz, aponevroz narujnoy kosoy mishtsi jivota i dr.); muscle fascia are formed: a) due to the degeneration of the muscles of the end sections (palmar aponeurosis, plantar aponeurosis, aponeurosis of the external oblique abdominal muscles, and others.); b) za schet polnoy ili chastichnoy reduktsii mishts i zamesheniya ix soedinitelnoy tkanyu (lopatochno-klyuchichnaya fastsiya shei). b) due to full or partial reduction of the muscles and their replacement by connective tissue (fascia scapuloclavicular neck). razvitie fastsiy tselomicheskogo proisxojdeniya svyazano s formirovaniem pervichnoy zarodishevoy polosti. oni, v svoyu ochered, podrazdelyayutsya na dve podgruppi: development fascia coelomic origin due to the formation of primary embryonic cavity. they, in turn, are divided into two subgroups: a) fastsii pervichno-tselomicheskogo proisxojdeniya: vnutrisheynaya, vnutrigrudnaya, vnutribryushnaya. a) fascia primary coelomic origin: inter neck, hilar, intraperitoneal. b) fastsii vtorichno-tselomicheskogo proisxojdeniya: - pozadiobodochnaya, - predpochechnaya. b) fascia secondary coelomic …

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powerpoint presentation lektsiya № 4 tema lektsii osnovnie printsipi operativnogo lecheniya gnoynix protsessov. basic principles of surgical treatment purulent process lektor: professor shamirzaev n. x. vvedenie vvedenie antibiotikov v meditsinskuyu praktiku v seredine xx v. porodilo uverennost, chto s ix pomoshyu budet reshena problema xirurgicheskoy infektsii. odnako eta nadejda ne opravdalas – na smenu optimizmu prishlo razocharovanie. vozrosshaya ustoychivost stafilokokkovix shtammov k ryadu antibiotikov vnov zastavila rassmatrivat problemu lecheniya gnoynix xirurgicheskix zabolevaniy kak odnu iz glavneyshix v xirurgii. v rezultate shirokogo primeneniya antibiotikov i poyavleniya antibiotikoustoychivix mikroorganizmov izmenilis simptomi i techenie gnoynix protsessov, vozrosla chastota ...

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