[Postoperative peritonitis in children].

The peculiarities of the manifestation of progressive and postoperative peritonitis under conditions of intensive postoperative therapy are shown on basis of generalized experience in the treatment of 48 children who underwent early relaparotomy for postoperative complications. The following causes of purulent peritonitis were determined during relaparotomy: progressive peritonitis in 14, postoperative peritonitis in 30, incompetence of the intestinal sutures in 9, and perforating ulcers of the small intestine in 3 patients. Manifestations of postoperative peritonitis in 13 patients (group I) treated in the intensive care department after operation for peritonitis of appendicular origin in whom the early postoperative period was uneventful were compared with those in 12 patients (group II) who were in the intensive care department after the first operation and who were later subjected to early relaparotomy.

[A method of evaluating the severity of children's condition at a department of intensive therapy and resuscitation].

The condition severity was expressed by an index of clinical condition (ICC)-a score (three-point system) used for the assessment of syndrome therapy techniques for the correction of damages in five vital systems (respiration, circulation, metabolism, hemostasis, liver-kidneys). The assessment was performed 24 h after the patient was admitted into an intensive care unit. Depending on the ICC value and the potential lethal outcome the patients were entered into 4 groups.

[Diagnosis and surgical treatment of gastroesophageal reflux in children].

Results of observations examination and treatment of 115 children with gastroesophageal reflux aged from 3 days to 14 years are described. Great importance of special methods of examination was shown. Results of using the roentgenological method, fibroesophagogastroscopy with biopsy of the esophagus, manometry and electromyography of the esophagus are presented.

[Disseminated intravascular coagulation in newborn infants with infection].

The treatment of disseminated intravascular coagulation (DIC) in infants with sepsis should be instituted after multimodality therapy of pyo-inflammatory diseases taking into account the degree of hemostatic disorders. In stage I DIC (hypercoagulation one), it is necessary to reach an adequate level of the inhibitors of the thrombin and plasmin systems. In this case it is quite sufficient to use donor's cryoplasma without heparin administration.