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[Stages of intestinal invagination in children]
Insights
Intestinal invagination in children significantly impacts homeostasis, especially in late stages. Early intervention with extracorporeal detoxification and intubation is crucial for managing severe cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Critical Care Medicine
Context:
- Intestinal invagination is a common surgical emergency in children.
- Homeostasis and microcirculation are significantly altered in advanced stages of the condition.
- 143 pediatric cases were analyzed, categorizing disease severity into compensation, subcompensation, and decompensation stages.
Purpose:
- To analyze the impact of intestinal invagination on homeostasis in pediatric patients.
- To evaluate the effectiveness of therapeutic interventions, including extracorporeal detoxification and intestinal intubation, in managing severe cases.
Summary:
- Clinical and laboratory data revealed the most significant homeostatic disturbances in children with late-stage intestinal invagination.
- Treatment strategies focused on hemodynamic stabilization and microcirculation enhancement.
- The study incorporated extracorporeal detoxification and intestinal intubation to preempt toxemia aggravation.
Impact:
- Highlights the critical role of monitoring homeostatic parameters in pediatric intestinal invagination.
- Suggests advanced interventions like extracorporeal detoxification can improve outcomes in severe cases.
- Provides insights into managing complex pediatric surgical emergencies.
Abstract:
The results of observation of 143 children with intestinal invagination are presented. In 105 patients, the disease was at the stage of compensation, in 27--subcompensation, in 10--decompensation. According to the data of clinical and laboratory investigations, the most pronounced changes in homeostasis were noted in children with intestinal invagination at the late stage. The measures aimed at stabilization of hemodynamics, improvement of microcirculation were carried out. In to the complex of treatment, the methods of extracorporeal detoxication of an organism and intestinal intubation going ahead of aggravation of toxemia were included.