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Experience in the treatment of 137 children with a most severe and complicated course of generalized purulent peritonitis of appendicular genesis is generalized. It is shown that such patients must be concentrated in centers of pediatric surgery providing the possibility of applying a complex of diagnostic examinations and therapeutic measures, including purposeful antibiotic therapy, differentiated immunocorrection, and effective detoxification. The detoxification and immunocorrection effect of discrete plasmapheresis with two-stage "washing out" of the red cells is illustrated in the discussion of 22 cases. It is pointed out that in operations for generalized purulent peritonitis the abdominal cavity must not only be cleansed but also drained adequately and intubation of the intestine must be carried out with aspiration of its content for 3-5 days and application of enterosorption through an intestinal tube. A complex of organizational and therapeutic measures made it possible to reduce considerably the mortality rate in acute appendicitis and its complications in the Moscow Region.
V G Tsuman, and
D S Duriagin, and
V I Shcherbina, and
E A Semilov, and
A E Mashkov, and
V A Kosarev
August 1993,
Khirurgiia,
V G Tsuman, and
D S Duriagin, and
V I Shcherbina, and
E A Semilov, and
A E Mashkov, and
V A Kosarev
December 2018,
The American journal of emergency medicine,
V G Tsuman, and
D S Duriagin, and
V I Shcherbina, and
E A Semilov, and
A E Mashkov, and
V A Kosarev
January 2005,
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V G Tsuman, and
D S Duriagin, and
V I Shcherbina, and
E A Semilov, and
A E Mashkov, and
V A Kosarev
May 1982,
Vestnik khirurgii imeni I. I. Grekova,
V G Tsuman, and
D S Duriagin, and
V I Shcherbina, and
E A Semilov, and
A E Mashkov, and
V A Kosarev
November 1979,
Khirurgiia,
V G Tsuman, and
D S Duriagin, and
V I Shcherbina, and
E A Semilov, and
A E Mashkov, and
V A Kosarev
January 2003,
Khirurgiia,
V G Tsuman, and
D S Duriagin, and
V I Shcherbina, and
E A Semilov, and
A E Mashkov, and
V A Kosarev
May 1993,
Khirurgiia,
V G Tsuman, and
D S Duriagin, and
V I Shcherbina, and
E A Semilov, and
A E Mashkov, and
V A Kosarev
January 1999,
Klinichna khirurhiia,
V G Tsuman, and
D S Duriagin, and
V I Shcherbina, and
E A Semilov, and
A E Mashkov, and
V A Kosarev
August 1991,
Khirurgiia,
V G Tsuman, and
D S Duriagin, and
V I Shcherbina, and
E A Semilov, and
A E Mashkov, and
V A Kosarev
January 2004,
Khirurgiia,
