[Modern achievements and the tasks of transfusion treatment of burn disease].
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Biomedical subjects
Publications and source records attributed to R I Murazian.
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The authors observed 167 cases with thermal burns of the respiratory tract and body integument. According to the authors' data the mortality among these cases reaches 72.4%. The treatment of such patients should be a complex one. The authors prefer the microtracheostomy and consider this operation to be a compulsory one for the most of the burned with the second degree burns of the respiratory tract.
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The method of thermography is believed to be a valuable means of an early diagnosis of the depth of the injury in frosbites of the extremities. The use of immune preparations aimed at the lessening of the percentage of infectious complications, both with conservative and surgical treatment of the frostbites of the extremities, should be applied for prophylaxis of the above-mentioned complications.
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The possibilities of antibacterial therapy in the clinics of burn diseases has at present decreased because of increasing microflora resistance to antibiotics. This phenomenon is one of the most often causes of antibacterial drug side effects in burn patients. For control of infections complications in burn patients which are most often lethal it is necessary to use biologically active subtance, such as prodigiozan and lysozime in addition to the directed antibiotic therapy. The use of specific antitoxic antistaphylococcal drugs, such as antistaphylococcal plasma and antistaphylococcal gamma-globulin in combination with the antibiotics of the direct action provided effective control of infectious complications and sepsis of staphylococcal genesis in burn patients. Decamine proved to be effective along with the usual use of nystatin in cases with dysbacteriosis as a result of the antibiotic side effects. In the patients treated with decamine the sings of candidosis disappeared by the 5th--7th day. Therefore, for decreasing the side effects of antibiotics in the clinics of burn patients it is expedient to use antibiotics in combination with the biologically active and immune preparations which increases the efficacy of antibiotic therapy, impfoves the treatment results and decreases the antibiotic side effects.
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