Unresolved problems of rendering of medical aid sick mesenteric the clottage in municipal hospitals of small cities and rural settlements
In work data about results of treatment of patients with an enteric clottage are presented. The mediko-statistical analysis of data on diagnostics, surgical treatment, a postoperative lethality at 328 patients in medical institutions of different level of specialisation is carried out. Correct verification of an enteric clottage in municipal authorities of public health services of a province makes 5.6% of cases at a pre-hospital stage, 23% - in receptions of hospitals, 30% - in surgical units before an operative measure. The clinical picture of an enteric clottage has no specific signs. The most constant symptoms acute enteric occlusions are an abdominal pain, vomiting and morbidity of a stomach at a palpation. The indicator of a postoperative lethality remains high, reaching in municipal hospitals of Leningrad region of 91.3%, in versatile hospitals of St. Petersburg - 50-80%. To improve results of treatment sick of an enteric clottage in a province it is possible by perfection of technology and the organisation of rendering of medical aid in public health services municipal authorities.