SU1641362A1 - Method for treatment patients suffering from renal colic - Google Patents

Abstract

The invention relates to medicine, in particular to urology. The aim of the invention is to reduce the duration of treatment in patients with renal colic. In order to achieve this goal, chloroethyl blockade of the skin was carried out by the skin and ultraviolet irradiation of auto blood at a wavelength of 254 nm for 3 minutes, on the first day blood was taken at the rate of 2 ml / kg, in the second 1 ml / kg, in the third 0.5 ml / kg body weight. The effectiveness of the procedure is explained by the anti-inflammatory, antispasmodic, immunocorrective action of AUFOK. The use of the method in clinical practice has reduced the treatment time for patients by 2 times. (C (L

Description

The invention relates to medicine, in particular to urology.

The purpose of the invention is to reduce the duration of treatment, the prevention of pyelonephritis.

The method is carried out as follows.

Chloroethyl blockade of the skin is performed on the skin and a session is performed (EUFOC) with the help of the FTINT apparatus of the Ukrainian Academy of Sciences. Blood is taken at the rate of 2 ml per 1 kg of body weight on the first day, 1 ml / kg on the second, 0.5 ml / kg on the third day of treatment. The irradiation is carried out with ultraviolet rays with a luminescence wavelength of 254 nm for 3 minutes. Dilution of anticoagulants 1: 5-1: 10.

Example 1. Sick I., 45 years old, delivered with a second attack of renal colic. Sick for 2 days. Twice, and the indicated period, the ambulance officers stopped the attack, but the pain was renewed.

The examination revealed that the attack was associated with a stone of the lower third of the right ureter. The size of the stone is up to 0.5 cm. The patient underwent a paravertebral chloroethyl blockade with 2 ampoules of refrigerant. Then produced EUFOAK for 3 minutes. The amount of irradiated blood was 120 ml (patient weight 63 kg). Blood pressure during manipulation 130 / / 70 mmHg. Art. 10-15 minutes after the return of the irradiated blood to the channel, the pain became insignificant. The patient was prescribed no-shpa injections, oral administration of urolesan and avisan. The next day, a repeated EUPHL was performed at the rate of 1 ml of blood per 1 kg of the patient's weight. After the manipulation, the pain, which had previously blunt nature, completely disappeared. On the third day, the ureteral stone went off on its own, after which 30 ml of the patient's blood was produced by the UFO.

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During UFABA, hemodynamic parameters remained stable - blood pressure kept at 120/60 mm Hg. Art., heart rate 72 beats per 1 min. Immunogram on admission indicated a decrease in natural immunity. Thus, RBTL 4%, E-ROCK 41%, EAC-ROCK 19%, SML 2.1 ml, BOC 1.6%. The study of the immunogram on day 14 revealed normal values: RBTL 59%, E-ROCK 44.5%, EAC-ROCK 21%, SML 3.5 ml, BOC 2.4%. She spent 5 days in the clinic.

Example 2. Patient F., 35 years old, was admitted with an attack of left-sided renal colic. The absence of indigo-carmine from the left ureteric uterus up to 15 minutes of observation was detected when performing chromocystoscopy, the indigo-carmine was isolated for 4 minutes on the right. During X-ray examination in the projection of the small pelvis, a calculus shadow of 0.4X0.6 cm was found. Blood pressure during an attack was 150/90 mm Hg. Art., pulse rate 92 beats per 1 min. The patient is laid on the stomach, produced by paravertebral chloroethyl blockade of the skin according to the 2 ampoules of the refrigerant. The pain significantly decreased, but did not disappear. The method of venipuncture was used to collect 140 ml of blood (the patient's weight was 71 kg) using the apparatus of the ILTP design of the Academy of Sciences of the Ukrainian SSR. Blood was irradiated for 3 min, wavelength 254 nm, preservative 15 ml of 3% sodium citrate solution. After reinfusion, the patient noted the feeling of warmth pouring through the body and the complete disappearance of pain. The method of variation pulsometry showed normalization of periods. After 1 h, the colic did not resume, the blood pressure dropped to the numbers specific to the patient - 130/70 mm Hg. st., frequency

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pulse 82 beats per 1 min. The next day, renal colic did not recur, signs of pyelonephritis were not identified. A repeated session of EUFOAK was carried out at the rate of 1 ml of blood per 1 kg of the patient’s mass. During the procedure, blood pressure was stable at numbers of 130/80 mm Hg. Art. The next day, EUFOAK was carried out at the rate of 0.5 ml of blood per 1 kg of the patient’s mass. By evening, the patient had a stone. On day 5, the patient was discharged in a satisfactory condition. At the height of renal colic, immunity indicators were as follows: RBTL 47%, E-ROCK 46%, EAC-ROCK 17%, SML 1.5 ml, BOC 1.5%. The data obtained indicated a decrease in natural immunity at the height of renal colic. The same indicators were studied in a patient on day 15. It is noted that RBTL 58%, E-ROCK 45%, EAC-ROCK 22%, SML 4 ml, BOC 2.5%. Thus, the patient’s immunoreactivity was restored.

The use of the method in clinical practice has allowed to reduce the treatment time for patients with renal colic by 2 times, to avoid pyelonephritis exacerbation in 94% of cases (as opposed to 60% of cases when using classical methods of treatment).

Claims (1)

Invention Formula A method for treating and rehabilitating patients with renal colic, including chlorine-ethyl blockade of the sciatica region, characterized in that, in order to shorten the period of treatment and prevention of pyelonephritis, extracorporeal blood irradiation with ultraviolet rays of 254 nm is additionally carried out for 3 minutes daily, moreover, on day 1, blood is irradiated at the rate of 2 ml / kg, on the second day, 1 ml / kg and on the third day, 0.5 ml / kg of body weight.