METHOD FOR PROGRAMMED IRRIGATION-ASPIRATION SANATION IN PURULO-NECROTIC COMPLICATIONS OF DIABETIC FOOT INFECTIONS

FIELD: medicine.SUBSTANCE: suppurative focus is opened and sanitated, and a wound is closed tightly. The postoperative period involves the programmed irrigation-aspiration sanation according to the following region. If the patient suffers a segmental phlegmon complicated with sepsis, patient's SAPS severity is 10 and more, a degree of purulo-necrotic involvement according to W.F. Wagner is 5, then a irrigation rate is considered to be 150ml/min, an aspiration rate is 300ml/min, an irrigation length is one minute, an aspiration length is 0.6 minute with the irrigation and aspiration cycles making not less than 5 and no more than 10 minutes. If the patient suffers a segmental phlegmon complicated with a systemic inflammatory response, patient's SAPS severity is within 9 to 6 points, a degree of purulo-necrotic involvement according to W.F. Wagner is 4, then a irrigation rate is considered to be 150ml/min, an aspiration rate is 200ml/min, an irrigation length is 0.8 minute, an aspiration length is 0.6 minute with the irrigation and aspiration cycles making not less than 19 and no more than 15 minutes. If the patient suffers a septic wound of the foot, a deep ulcer with the phlegmon, patient's SAPS severity is 5 and less, a degree of purulo-necrotic involvement according to W.F. Wagner is 2-3, then a irrigation rate is considered to be 120ml/min, an aspiration rate is 200ml/min, an irrigation length is 0.4 minute, an aspiration length is 0.5 minute with the irrigation and aspiration cycles making not less than 10 and no more than 15 minutes.EFFECT: effective treatment of the given patients by taking into account the intensity of clinical manifestations of the wound infection and pus pocket dimensions.1 tbl Изобретение относится к медицине, а именно к хирургии, и может быть использовано при лечении пациентов при гнойно-некротических осложнениях синдрома диабетической стопы. Для этого осуществляют вскрытие, санацию гнойного очага и ушивание раны наглухо. В послеоперационном периоде проводят программную ирригационно-аспирационную санацию по следующей схеме. Если у пациента флегмона сегмента конечности, осложненная сепсисом, тяжесть состояния по шкале SAPS 10 и более баллов, степень поражения гнойно-некротическим процессом по W.F. Wagner - 5, то скорость ирригации составит 150 мл/мин, скорость аспирации - 300 мл/мин, время ирригации - одна минута, время аспирации - 0,6 минуты, пауза между ирригацией и аспирацией не менее 5 и не более 10 минут. Если у пациента флег