Open AccessCorrection of impairments of visceral blood flow and oxygen-carrying function of the portal blood in diffuse purulent peritonitis
Author(s) -
Б. М. Белик,
V. A. Suyarko,
Д. В. Мареев,
Sergei Efanov,
K. G. Pyasetskiy
Publication year - 2017
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 7
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2017-176-6-38-43
Subject(s) - medicine , blood flow , liver function , oxygenation , peritonitis , superior mesenteric artery , portal vein , enteral administration , splanchnic , anesthesia , gastroenterology , surgery , parenteral nutrition
OBJECTIVE. The authors assessed an efficacy of correction of visceral blood flow and oxygen-carrying function of portal blood in patients with diffuse purulent peritonitis. The intraportal infusion therapy was applied using ozone-saturated solutions. MATERIAL AND METHODS. There were investigated the dynamics of index changes in blood flow of the portal vein, common hepatic artery, superior mesenteric artery and main parameters of oxygenation of system and portal blood. RESULTS. There was found that the application of intraportal infusion therapy facilitated to hepatic and mesenteric blood flow, oxygen-carrying function of portal blood and liver oxygenation. The method helped to restore liver function and eliminated enteral disfunction and it decreased severity of patients’ state that allowed doctors to improve treatment outcomes. CONCLUSIONS. The intraportal infusion therapy using ozone-saturated solutions is an important part of treatment management in severe forms of purulent peritonitis.