The way to treat frostbite
(57) Abstract:The invention relates to medicine, namely to surgery. In the first hours of the reactive period of frostbite patient with lesions of the lower limbs injected mixture consisting of 30 ml of 0.5% solution of novocaine, 10000 IU of heparin, 40 mg of hydrocortisone and 500000 IU monomitsina under the Achilles (calcaneal) tendon, and if frostbite brushes through the interdigital intervals in the deep middle space of the Palmar surface of the hand. Before the introduction of the mixture injected subcutaneously with 1.0 ml of 1.0% solution butirosin. This method increases the effectiveness of the treatment of frostbite, can be applied in any conditions, even by an Amateur. The invention relates to medicine, namely to methods for treating frostbite.There are various ways to treat frostbite. Some of them come from a position of direct damage to cold tissues, and therefore, treatment is limited to surgical manipulation (1), others believe that when critrate changing metabolic processes with changes in vascular tone, and therefore the treatment is reduced to intraarterial the introduction of various cocktails (2, 3).There is also known a method of conducting a drug to be injected with 30 ml of 0.5% solution of novocaine, 10000 IU of heparin, 40 mg of hydrocortisone and 500000 IU monomitsina, resulting in a high concentration of drugs in the area frostbite, and this method can be applied in any environment and man, able to introduce this mixture subcutaneously.However, the above method is based on the improvement of microcirculation and the state of aggregation in the blood of cryotherapy without changing adaptive programs that are included in different phases of frostbite.Available other methods of treatment of frostbite related with the improvement of microcirculation and blood aggregate status, require intra-arterial injection of drugs that are technologically available only to medical professionals of a high class.The aim of the invention is to improve the state of aggregation of blood and normalization of blood flow by injecting funds into the fiber space of the hands and feet with the simultaneous inclusion of adaptation programs aimed at empathy with the irritant.This objective is achieved in that in the first hours of the reactive period of frostbite patient with lesions of the lower extremities drug mixture is injected under the Achilles is deep middle space of the brush. 30 minutes prior to injection drug mixture to the patient subcutaneously injected with 1.0 ml of 1.0% solution of butirosin. On one introduction with the frostbite of the hands or feet is used 30,0 ml of 0.5% solution of novocaine, 10000 IU of heparin, 40 ml of hydrocortisone and 500000 IU monomitsina.As an experiment similar manipulation was carried out on rats. The results of the experiment showed that treatment with a mixture in podporujici space reduces the severity of damage from 3.9 0,03 extent of 0.05 to 2.1 degree.Example 1. 40 rats of both sexes caused frostbite to the extent of glaciation, the temperature of the feet was reduced up to-7.6 0,03oC and was maintained for one hour. After 1 hour foot were warmed by warm air at a temperature of +40oC. Upon reaching normal temperature paws of rats in podporujici space stop put 0.5 ml of a mixture of 0.3 ml of 0.5% solution of novocaine, 0.1 ml of heparin - 500 UNITS, 0.1 ml of hydrocortisone to 2.5 mg. Before conducting the mixture for 30 minutes in the abdominal cavity is entered 0.2 ml of 1.0% solution of butirosin. Control animals not treated with the mixture, criterium accompanied by the development of frostbite 3,9 0,03 degree, followed by mytilacea limb 5-6 days. The introduction of the mixture into podporujici prednosti.Example 2. Patient R., 40 years old, came to the hospital 31.01.81 year complaining of sharp pains in both hands and considerable swelling of both hands and fingers, limited movement in them. On the night 29.01 30.01 on happened frostbite during operation, when the temperature was -25oC and he spent hours was without gloves. House hands warmed in hot water, smeared with fat, but on the 2nd day appeared vesicles with serous and hemorrhagic content. Objective: both brushes and fingers dramatically swollen. Swelling reaches the elbow joint, blisters on the fingers of the hands with hemorrhagic content, movements of the fingers is limited due to swelling, sensitivity is reduced. The pulsation of the radial artery saved. Diagnosis: frostbite brushes III-IV degree. The patient immediately introduced subcutaneously with 1.0 ml of 1.0% solution of butirosin and in the interdigital intervals in the deep middle region of the palms surface a mixture of 30 ml of 0.5% solution of novocaine, 2 ml of heparin (10000 IU), 1.6 ml hydrocortisone (40 ml) and 500000 IU monomitsina.On the second day the swelling was significantly reduced on both hands, and the pain was only on the right hand. The introduction of the mixture and batocina was conducted during the week on a daily basis. By the end of the week the patient developed n returned to his former profession of a gas welder.The method of treatment is recommended for use in patients under low temperatures.Literature
1. The Ariev So Ya Thermal damage. - M.: Medgiz, 1966. - 704 S.2. Orlov, A. Violation of blood circulation in the vessels of the extremities and the role of infusion therapy with the defeat of cold. // Problems of Hematology and blood transfusion. - 1982. - So 27. - N-6. - S. 7-10.3. Foray J. Mountain frostbite. Current trends in prognosis and treatment/ from rezults concerning 1261 cases// Jnt. J. Sports Med. - 1992. - Vol. 13. - Suppl.I. - S. 193-196.4. Kotelnikov B. N. Frostbite. - M.: Medicine, 1988. - 256 S. The treatment for frostbite is injected into the fiber space frostbitten tissue drug mixture: 30,0 ml of 0.5% solution of novocaine, 10000 IU of heparin, 40 mg of hydrocortisone and 500000 IU monomitsina, wherein the pre for 30 min before the injection of the mixture injected subcutaneously 1 ml of 0.1% solution of butirosin.
R2IS-H, -OH, -O(C1-C4alkyl), EA6H5, CCA(C1-C6alkyl) , -OSO2(C2-C6alkyl), or halogen; R3- 1-piperidinyl, 1-pyrrolidinyl, methyl-1-pyrrolidinyl, dimethyl-1-pyrrolidinyl, 4-morpholino, dimethylamino, diethylamino, diisopropylamino or 1 hexamethyleneimino; n = 2 or 3; Z Is-O - or-S-, or their pharmaceutically acceptable salts
FIELD: medicine, orthopedics, traumatology.
SUBSTANCE: one should isolate and dissect the tendons of anterior tibial and long fibular muscles to dissect the tendon of posterior tibial muscle against the site of fixation and direct it towards plantar rear area in front of internal ankle through the tunnel in subcutaneous fiber, then one should subcutaneously direct dissected tendons of anterior tibial and long fibular muscles onto plantar rear area to suture them so to leave free the tendinous end of posterior tibial muscle which should be intraosseously fixed to median wedge bone that keeps the process of foot repulsion during walking.
EFFECT: higher efficiency of therapy.
5 dwg, 1 ex