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4.4.7. Medicamental treatment


Medicamental therapy was used by us in very limited volume and reduced to use of a necessary minimum of the medicinal preparations prescribed under strict indications.

In the preoperative period we spend anaesthesia nsnarkoticheski - mi analgetics and medicamental treatment of accompanying somatopathies under references of doctors-advisers corresponding proyofilja.

On the eve of operation in coordination with the anaesthesiologist provoyoditsja a premedication sedative preparations.

In day of operation it is necessarily spent antibiotikoprofilaktiku - 2,0 grammes of Cefazolinum in the form of intravenous drop infusion to 200 ml izotoniyocheskogo Sodium chloridum solution 30 minutes prior to operation. With the account dlitelnoyosti and complexities of operation in some cases it is spent postoperative antibiotikoterapsho within 5-7 days.

In first two days we spend a balanced anaesthesia narkotiyocheskimi analgetics and nsnarkoticheskimi analgetics, and further — only not narcotic preparations.

In immobilizatsionnom the period to patients of advanced age at naliyochii osteoporosis signs it is recommended miakaltsik in a kind nazalnogo aerozoyolja on 1st dose (200МЕ) in day daily within 30 days in a combination to preparations of calcium and vitamin D.

For the purpose of acceleration of process of formation of an osteal callositas justifies itself preparation appointment ksidifon from calculation of 5 mg on 1 kg of weight of a body of the patient within 1,5 months or ostsogenona.

In postimmobilizatsionnom the period we prescribe biostimulators. At carrying out intensive mehanoterapii for cupping of a painful syndrome it is used not narcotic analgetics.

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Scientific source Ivanov PETER VALENTINOVICH. OPTIMIZATION of TACTICS of SURGICAL TREATMENT And POSTOPERATIVE AFTERTREATMENT of PATIENTS With CALCANEUS FRACTURES. The dissertation on competition of a scientific degree of the candidate of medical sciences. Kazan -.

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