High clotting activity (CA) of monocytes, low level of macrophage CA, and increase of proteolytic activity (PA) of neutrophils in the inflammatory focus predominate in patients with deep phlegmons of the neck at the peak of inflammatory process. Blood monocytes retain their anticlotting potential and macrophages possess CA during resolution of the inflammatory process. The neutrophil PA in the blood and lavage fluid was lower during the resolution phase in comparison with the peak of inflammation.
View Article and Find Full Text PDFThe authors made an analysis of results of treatment of 146 patients with diffuse phlegmons of the neck. The use of cryoplasmic-antifermentative complex and plasmapheresis in complex treatment allowed to increase the efficiency of pathogenetic therapy for phlegmons of the neck and contact mediastinitis, to improve the entry of antibiotics and enzyme inhibitors into the inflammation focus and to get better results of treatment.
View Article and Find Full Text PDFTreatment results in 61 patients with acute mediastinitis are analyzed. Combined treatment of acute mediastinitis, including cryoplasma-antienzymic complex use and indirect electrochemical blood plasma detoxication, promotes disappearance of microcirculation disorders, to earlier decreasing of endogenic intoxication, outcomes improvement.
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