Êëèíè÷åñêîå íàáëþäåíèå / Case reportПредставлено клиническое наблюдение гепатоцеллюлярной карциномы, осложнившейся разр ывом. До развития осложнения основное заболевание было бессимптомным. Несмотря на кровопотерю порядка 30-35% объема циркулирующей крови, в клинической картине острого состояния преобладал геморрагический шок. Новообразование левой доли печени с некрозом и разрывом было диагностировано при видеолапароскопии. Достижение окончательного гемостаза было невозможным без резекции печени. Опухоль была иссечена в пределах здоровых тканей (R0). Авторами проведен поиск и анализ литературы. Редкость осложнения обусловливает интерес клинического наблюдения.
The article presents the literature data and the authors’ own observations on the current state of the issue in the clinical use of octenidine dihydrochloride and phenoxyethanol in thermal burns of the skin in clinical and outpatient surgery.
The aim of the study was to assess the preventive efficacy of using topical brimonidine tartrate in individuals who underwent cosmetic cosmetology injections in terms of reducing the risk of skin hematoma formation at injection sites.Materials and methods. The study included 296 patients; the average age of patients in the study was 36.3 ± 7.4 years. The criterion for the inclusion of patients in the study was either the presence of indications for the use of botulinum toxin type A drugs, or fillers. Patients were divided into groups of preventive use of topical brimonidine tartrate and a control group. The evaluation was carried out to achieve the end for patients — the onset of an episode of hemorrhagic complication of the injection procedure.Results and conclusions. The study demonstrated a reduction in the risk of hemorrhagic complications in patients who underwent contour plastic with previous preventive prescription of topical brimonidine tartrate.
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