Purpose of the study. to study how the
consequences of surgical sepsis caused by
purulent-necrotic complications of sugar diabetes
depend on the dynamics of endotoxicosis indices
in the course of treatment.
Material and methods. The research included
30 patients with the symptoms correlating with
the criteria for surgical sepsis caused by purulentnecrotic
complications of sugar diabetes. The
patients had their level of endotoxicosis measured
and the severity of their condition evaluated
according to the scale.
Results. 26 patients were discharged from
hospital due to their recovery, 4 patients died.
The purulent-necrotic complications lead to the
development of intoxication syndrome and sepsis
causing, in its turn, the decompensating of the
disease, poly-organic insufficiency and the high
lethality. Despite the conservative and surgical
treatment carried out, the high indices of endogenic
intoxication in the dynamics of the treatment
proved to be a bad prognostic sign.
Conclusion. the monitoring of endogenous
intoxication in patients with surgical sepsis
caused by the purulent-necrotic complications of
sugar diabetes in the treatment dynamics proves
to be an important diagnostic and prognostic
element helping to correct the treatment tactics
and diminish the lethality.
Keywords: purulent-necrotic complications of
sugar diabetes, surgical sepsis, endotoxicosis.