METHOD FOR PREVENTING TISSUE HYPERTENSIVE SYNDROME IN TREATING POSTOPERATIVE PHLEGMON SOFT TISSUES

FIELD: medicine.SUBSTANCE: invention refers to medicine and can be used in surgery and, in particular, in purulent surgery. Performing soft tissue phlegmonations and conservative treatment of purulent wound. In the postoperative period, daily instrumental examination of tissue pressure of affected and healthy areas is performed, pressure difference is calculated. A histological examination of the fingerprint is performed daily. With tissue pressure difference (R) of healthy and affected areas of up to 20 mm Hg and detection of phase III of wound process, complex of conservative therapy is supplemented by oral introduction of Vobenzim by 5 tab. 3 times day for 14 days, intramuscular introduction of Cytomaks 0.25 % by 4.0 ml 2 times day for 14 days. With tissue pressure difference (R) of healthy and affected areas from 20 to 30 mm Hg and detection of phase III of wound process, complex of conservative therapy is supplemented with oral introduction of Detralex by 2 tab. once day for 30 days, intramuscular introduction of Mildronate 500.0 mg once day for 14 days. With tissue pressure difference (R) of healthy and affected areas from 30 mm Hg and higher and detection of phase III of wound process, complex of conservative therapy is supplemented with decompressive fasciotomy of fascial compartment of affected area of two longitudinal incisions with length of each of 4.0 cm, one of the incisions is carried out along the lateral one, and the other incision is made along the medial edge of the area. Intravenous introduction of Cocarboxylase 200.0 ml once day for 14 days, intravenous introduction of Lazix 20,0 ml once day for 3 days. If the difference in the tissue pressure of the healthy and affected area is 20 mm Hg and higher and phase III of wound process, all patients undergo hyperbaric oxygenation once day for 7 days.EFFECT: technical result is higher clinical effectiveness in phlegmon soft tissues.1 cl, 3 ex Изобретение относится к медицине и может быть использовано в хирургии и, в частности, в гнойной хирургии. Осуществляют вскрытие флегмоны мягких тканей и консервативное лечение гнойной раны. В послеоперационном периоде проводят ежедневное инструментальное исследование тканевого давления пораженной и здоровой областей, вычисляют разницу давления. Проводят ежедневное гистологическое исследование мазка-отпечатка. При разнице тканевого давления (R) здоровой и пораженной областей до 20 мм рт. ст. и выявлении III фазы раневого процесса комплекс консервативной те