BOKLIN ALEKSEJ ALEKSANDROVICH,Боклин Алексей Александрович,GRIGOREVA TATJANA STANISLAVOVNA,Григорьева Татьяна Станиславовна,DMITRIEVA IRINA ALEKSEEVNA,Дмитриева Ирина Алексеевна,ELSHIN EVGENIJ BORISOV
申请号：
RU2013156534/14
公开号：
RU0002553203C1
申请日:
2013.12.20
申请国别(地区):
RU
年份:
2015
代理人:
摘要：
FIELD: medicine.SUBSTANCE: minor amputation of the foot with the further necrectomy is performed. After the application of an antimicrobial bandage and drainage, the wound is hermetised from the environment by the creation of a negative pressure above the wound in a combination with drug treatment. The reatment is performed in two steps. At the first step the wound with the antimicrobial bandage and drainage is first hermetised from above with an adhesive film, with the creation and support of the negative pressure not lower than 80 mm Hg. Urokinase 500000 U is additionally introduced daily intravenously by drop infusion per 100 ml of physiological solution, Vessel-Due-F in a dose of 600 LU per 100 ml of physiological solution and VAP 20 - alprostadil in a dose of 40 mcg per 100 ml of physiological solution. In addition Antistax in capsules is introduced to the patient. At the second stage active 24-hour vacuum aspiration with the change of the negative pressure from 10 to 80 mm Hg within a day is carried out. Additionally introduced is Vessel-Due-F in a dose of 1 capsule with 250 LU 2 times per day between meals and Antistax. At the first and second stages Antistax is introduced in a dose of 2 capsules in the morning 30-40 minutes before meal, daily. Duration of each stage constitutes not less than 7 days.EFFECT: increase of the treatment efficiency due to the complete and timely purification of the wound from pathological exudates, elimination of the progression of the purulent-necrotic process, increase of the regenerative activity of tissues, activation of local immunity, recovery of microcirculation and oxygenation of the affected tissues.2 cl, 2 exИзобретение относится к медицине, а именно к хирургии, и может быть использовано для комплексного лечения больных с осложнёнными формами диабетической стопы. Для этого проводят малую ампутацию стопы с последующей некрэктомией. После наложения антимикробной повязки и дренажа рану герметизируют от внешней среды путём с
