[Effect of oral rehydration therapy on the function of the kidneys in food poisoning].
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Biomedical subjects
Publications and source records attributed to V V Maleev.
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Altogether 320 elderly and old-aged patients with alimentary toxinfections suffering from essential hypertension (65.9%), coronary heart disease (39.3%), atherosclerosis (29.3%) were observed. A severe course of toxinfection was noted in 5.9% of the patients, an average severe course in 94.1%. The patients received intravenously the "quartasol" solution in full volume (25.7%) or the ORS solution with sodium hydroxycitrate per os (74.3%). Therapeutic efficacy was high. Antihypertensive therapy and antianginal drugs were simultaneously administered. Neither complications nor side effects were observed during therapy of the elderly and old-aged patients with alimentary toxinfections. In addition to the above therapy all the patients received sparing diet and enzyme preparations.
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The clinical picture of food toxoinfections in patients with diabetes mellitus is characterized by a more severe and protracted course. On the other hand, food toxoinfections promote diabetes mellitus decompensation and the development of diabetic ketoacidosis. Since diabetes mellitus and food toxoinfections have a number of symptoms in common the authors suggest the diagnostic working schedule. Grave and medium-grave food toxoinfections in patients with diabetes mellitus mandate refusing the intake of oral antidiabetic drugs and long-acting insulins. It is recommended that insulin may be administered in divided doses.
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The authors have observed 189 patients with thromboses of the mesenteric vessels. In 85.7% of the cases thrombosis developed in the mesenteric major vessels (mainly in the upper mesenteric artery), in 14.3% in the microcirculation system as a complication of food poisoning. Differential-diagnostic signs for both groups and clinical illustrations are presented. The importance of efficient rehydration therapy in food poisoning for the correction of rheological and homeostatic disorders in the microcirculation system is emphasized.
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