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  • Title: [Acute insufficiency of the gastrointestinal tract in patients with severe gunshot injury].
    Author: Gavrilin SV, Gerasimov GL, Boiarintsev VV, Lebedev VF, Kobiashvili MG, Fedorov VG, Ivanovskiĭ GE.
    Journal: Vestn Khir Im I I Grek; 2001; 160(5):89-93. PubMed ID: 11837007.
    Abstract:
    Acute insufficiency of the gastrointestinal tract (GIT) in patients with severe gunshot injuries is an important link of pathogenesis of the polyorganic insufficiency syndrome. The character of the wound, the numerical score objective assessment of the injury severity and severity of the patient's state are considered to be criteria of early diagnosis of a risk of the development of acute insufficiency of GIT. The specific feature of "general" intensive therapy of acute insufficiency of GIT in severe gunshot traumas is the necessary application of regional anesthesia, sympatholytics, anticholinesterase agents and H2-blockers. Intensive "enteral" therapy of acute insufficiency of GIT in severe gunshot wounds includes the measures resulting in improvement of microcirculation, tissue respiration in organs of GIT, decompression of the stomach, local defense of mucosa, detoxication and early enteral balanced nutrition. The described method of treatment of wounded to the stomach used at specialized medical institutions resulted in 6.2 less lethality among this category of patients.
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