stiinte med 1 2012.indd - Academia de Ştiinţe a Moldovei

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processes and prevention of installation of multiple
organ injuries improving wound healing.
The revealed postoperative results confirm the
efficacy of diagnostically techniques and medicosurgical
attitude which demonstrated good results in
all100 % of the cases.
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Rezumat
Articolul prezintă o analiză a rezultatelor obţinute în
tratamentul peritonitei apendiculare acute generalizate,
utilizând tehnici de diagnostic special selectate şi tratament
medico-chirurgical.
Buletinul AŞM
Analizând literatura de specialitate şi reieşind din
studiile personale, se poate concluziona că tratamentul
chirurgical individualizat este doar o etapă în procesul
terapeutic şi este necesar de a reechilibra o multitudine
de tulburări biochimice, metabolice, acido-bazice,
considerate ca fiind şi potenţiali factori de risc în instalarea
complicaţiilor septico-purulente, abcese, ocluzii intestinale
la copil.
Summary
The present article present an analysis of the results
in treatment of appendicular acute generalized peritonitis,
using special selected diagnostically methods and medicosurgical
treatment.
It can be considered, analyzing literature of specialty,
that the individualized treatment it is only one step in
therapeutically arsenal and it is necessary to reechilibrate
a multitude of biochemical, metabolic, acido-basic
disturbances considering being potential factor of risk in
installation of septico-purulent complications.
Резюме
Статья представляет анализ результатов лечения
острого разлитого перитонита у детей аппендикулярного
генеза с применением специальных методов диагностики
и лечения.
Анализируя литературные данные и собственные
наблюдения на 320 детей, оперированныx в нашей клинике,
можно сделать вывод, что хирургическое лечение
– это только один этап в лечении разлитого перитонита
у детей. Кроме этого, необходимо устранить биохимические,
метаболические и кислотно-щелочные нарушения,
которые являются факторами риска в развитии
таких гнойно-септических осложнений, как абсцессы
брюшной полости, кишечная непроходимость, сепсис
и синдром полиорганной недостаточности.
CONGENITAL LOBAR EMPHYSEMA
IN CHILDREN
_______________________________________
Eva Gudumac, Academician SAM, PhD in
medicine, univ. professor, Professor emerita,
Alina Danila, doctoral candidate, NSPCPS
„Academician Natalia Gheorghiu”
Introduction
Congenital localized emphysema (lobar
emphysema, obstructive emphysema, hypertrophic
emphysema, polialveolar lobe) represents a congenital
terminal (distal) bronchopulmonary malformation
and is defined as a progressive diffuse, abnormal
and uniform hyperinflation of the pulmonary alveoli,
of one or two lobes, usually of the upper one, with
the subsequent formation of one or more bubbles
under pressure, without a wall of their own, with the