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THE ANALYSIS OF RENDERING ASSISTANCE BY A SICK ACUTE DESCENDING MEDIASTINITIS

Summary. Objective — to lead the analysis of diagnostics and treatment of patients with an acute descending mediastinitis for improvement of results of their treatment. 
Materials and methods. The analysis of results of treatment of 34 patients is presented by an acute mediastinitis. Patients with a descending mediastinitis made up — 61,8 % (21). The reasons of it became dontogenous phlegmons — 8 (23,5 %) and phlegmons of a neck owing to nonspecific lymphadenites and paratonsillar abscesses — 13 (38,2 %) 
Results. For a while from the beginning of disease up to a mediastinotomy the choice of additional methods of research influenced: at carrying out of roentgenography it has made (11,0±2,3) day, at carrying out of a computer tomography — (4,0±0,5) day. The lethality among group of a descending mediastinitis made up 19,0 % (4 patients). Direct authentic correlation of a lethality and augmentation of a leukocytic index of an intoxication (LII) in 10 days after operative treatment noted. 
Conclusions. The computer tomography is most diagnostically valuable (up to 100 %) research in monitoring a condition of the patient at stages of his treatment. The leukocytic index of an intoxication can serve as accessible supervising and prognostic criterion of a condition of the patient at an acute mediastinitis.