[Pylephlebitis as a complication of acute destructive appendicitis].
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Biomedical subjects
Publications and source records attributed to V A Baskakov.
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An experience with the treatment of 760 patients enabled the authors to recommend the early operative treatment only for irreversible (gangrenous and perforative) forms of cholecystitis. Multiple cutaneous electrothermometry, counting the electrocyte index of intoxication and urgent laparoscopy are considered to be helpful for the timely diagnosis of the disease.
An analysis of results of studying skin electrothermometry in 112 patients and determining the leukocyte index of intoxication in 86 patients has shown that these examinations allow differentiating the forms of acute cholecystitis (destructive and nondestructive) and timely recognizing the developing purulent complications in the postoperative period.
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The clinical picture of acute cholecystitis was analyzed in 221 patients. The authors have studied symptoms of the disease in patients older than 60 such as rapid beginning of the disease, early signs of intoxication and peritonitis. They all made the diagnostics difficult. Urgent operations should be recommended in elderly and senile patients more often due to greater probability of destructive forms of cholecystitis in such patients.
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