Психологический настрой, и воля больного играют важную роль в выздоровлении. Если больной поверит в то, что все в его жизни зависит лишь от него самого, то силой воли и жаждой жизни можно даже победить смерть.
The treatment of obliterative diseases of the lower limb vessels remains a significant challenge in modern vascular surgery. The high frequency of postoperative complications, high mortality, and progression of atherosclerotic processes after reconstructive interventions on the vessels of the lower limbs have led to a search for pathogenetically justified ways and means of preventing complications of reconstructive surgeries.
The author employed hypolipidemic agents, namely glyrofam and colestid, to develop a conservative prophylaxis regimen for postoperative complications of obliterating atherosclerosis. The regimen was based on the study of platelet aggregation activity indices and lipid metabolism state. It consisted of a course of treatment with hypolipidemic drugs, administered in 1-month cycles with a 3-month periodicity.
The clinical material comprises the examination and treatment of 138 patients. The control group included 61 patients. The main group comprised 77 patients, 39 of whom took colestid and 38 patients used glyrofam.
The study of long-term outcomes demonstrated a reduction in the incidence of postoperative thrombosis from 8.1% to 1.3% and a decrease in mortality from 13% to 2.6% in patients undergoing hypolipidemic therapy.
These findings suggest that hypolipidemic drugs that affect lipid metabolism may prevent the progression of atherosclerotic processes and that drugs that affect the rheological properties of blood may reduce the incidence of postoperative thrombosis.
21 patients with a severe course of COVID-19 were under observation. The study was carried out in a specialized hospital for the treatment of patients with coronavirus infection. A more detailed analysis of the ECG was carried out: the duration of the corrected QT interval, the variance of the QT interval, the Tp-Te interval and the Tp-Te/QT ratio were determined. Prolonged repolarization rates are a poor predictor of a dangerous COVID-19 outcome.