Someone else will help in the throat. Ludina choked, why robiti? Likuvannya hitting third-party items

№18. Gn_yno-ignition pathology of the shia.

Among the nonspecific ignition diseases, the most frequent are lymphadenitis and phlegmon (adenophlegmon), more furuncles, carbuncles and erysipelas, to paradise it is not easy to slow down with meningitis and sepsis. Gnarial lymphadenitis and phlegmon often develop in conjunction with the appearance of infections in carious teeth, with angina, pharyngitis, laryngitis, thyroiditis, partial headache ailments, with injuries to the stravohode, pharynx, larynx. Pidshkirna phlegmon, when there is a blaze of gnarly burning, you will be localized under the pidshkirnaya mucus, manifesting itself as a hyperemia, ailing and bulging. The phlegmon of the bed of the sternocleidomastoid nipple-like muscle, often develops in the form of mastoiditis, clinically manifests itself in pain in the whole area, ailing during palpation. The phlegmon of the supra-sternal cellular tissue is prevented by the lymphoma and osteomyelitis of the sternum arm. It is characterized by swelling and smoothing of the contours in the area of ​​the jugular virus. Threatening to the acceleration of such phlegmon is the expansion of the gland process behind the sternum, in the anterior middle with the development of mediastinitis. For piddlepous phlegmon, it is characteristic to increase the pain when the mouth is open. In case of phlegmon of the cellular tissue of the neurovascular bundle, it can develop in the case of angina and parotitis, possibly profuse bleeding in cases of arrosion of the great sudins. When phlegmon is formed in front of the trachea, the gnarial process can expand in the anterior middle, and with localization in the posterior of the trachea - in the posterior middle with a further development of gnarial mediastinitis. The cause of severe phlegmons can be caused by strangers or trachea by alien bodies. In case of adolescence on the side of the phlegmon of the ligamentous ligament, oglyadine radiography of the breast and breast cancer, X-ray contrast before the duodenal tract and fibroesophagoscopy. Chron. nonspecific (woody) phlegmon of shia viklikak weakly rulent microflora. Such a phlegmon is manifested by chilny, woody infiltrate, swirling swelling and cyanosis of the shkiri. Anaerobic phlegmon of the supraclavicular cell of the shia is characterized by the manifestation of ginny vognisch, inviting otochenny of the invisibility of the cell. Likuvannya of ignition processes in general, you should repair from conservative approaches: signs of antibiotics (such as synthetic penicilli, aminoglikosidi, cephalosporin) and in. With sparing or increased symptoms of intoxication, progression of fiery ulcers is shown promptly.

No. 19. Side of the throat

Side tila top dikhalnyh nobles, Dilution of the pharynx, occurs often. The reasons for drinking down the throat can be disrespect and sleep when you get sick, rush or laugh for an hour, cough, and for an hour. Children, deprived of sight, take in their mouths and wrap themselves around the small objects. In lіtnіh people alien bodies can be used dentures. Nareshti, in the minds of a hot climate, alien bodies start to drink at once with a vaping from the beginning of the day, or even some other coma.

Third-party objects can be of a different nature and form: rib and chicken tastes, other metal objects, small pieces of fruit, sklo and in.

Falsely due to the form and the size of alien dust, it can get stuck in the tissue of the infantile migdines, the vertebral folds of the pharynx, ulcerous migdines, valecules, pear-like sinuses, etc.

key picture store up with a scarg of a sick person on the appearance of breasts in the throat, on the manifestation of a sore throat, so that you can do it when you are overwhelmed. With great strangers, how to get stuck in the orthoglottic, obturation of the dysfunctional paths with the onset of asphyxiation and lethal result is possible.

It is especially difficult to find out when you are sick for drinking outside body in the lower part of the pharynx, for example, in the pear-shaped intestine or near the transition of the pharynx to the stravohid. One sign of a third-party body, prikhovannogo in pear-like sinus, serve as a closure in a new slug (sludge of a lake). In such vipadkas, krym zychaynoi laryngoscopy, vikoristovuyutsya direct methods with the use of rigid esophagoscope.

In some cases of foreign pharynx, it is possible to experience phlegmon or abscess of the lymphatic pharynx, as well as fatigue emphysema and mediastinitis, as a result of an apparent surgical involvement.

diagnostics primed on scargs of a sick person, given anamnesis and instrumental examination (mesopharyngoscopy, epipharyngoscopy, indirect laryngoscopy). To clarify the localization of the third-party body, I will greatly help you with an X-ray dosage, smearing your finger with a finger. It is not uncommon for the sub'active scarg of a sick person to be affected not by an alien body, but by a trauma of the mucous membrane caused by an alien body. Such vipads have a necessary dynamic control over the camp of the sick person and the changing pharyngoscopic picture over a period of decilkoh days.

Likuvannya. It is necessary to see the side of the pharynx, as a rule, after anterior aplication anesthesia of the mucous membrane of 10% with a dose of lidocaine. Someone else can be thrown by the larynx or nasopharyngeal forceps, or with a pair of pincers. If necessary, the wound surface is covered with anesthetics, rinsing with antiseptic rods is indicated, and miscellaneous antiapaline therapy.

Third party tila stravohodu

The fall of foreign minds into stravohid is mainly of a vypadkovy character: at once you can chew on the crap, if you do not have to be careful, it’s fast. There is a wide range of teeth and denture wear, alcohol use, small calls - teeth, teeth, coins, etc. Navmisno alien tila can boggle mentally ill people.

The nature of the third-party objects in may be very friendly: other ribs, bird cages, meat shmat, coins, ulamka igrashok, dentures and dentures.

The outsiders get stuck in stravohods in the sounds of physiological sounds, most often in loud sounds. The musculature, transversely dark, is strained to accumulate in a number of strong reflexive fast strains. Another point in terms of the frequency of stuck third-party loan is the chest viddil, nareshty, third - cardial.

clinika in case of third-party conditions, the stravohove will start out in size, relief of the surface, and the size and shape of the strand. An ailing turbulent beef behind the breastbone, so that it’s going to take off before the hour, as well as seeing foreign body. In deyakikh vipadkah, the passage of the їzhі has been ruined. Characteristic is the vimushene of the position of the tulub: the head hangs forward, turns at once with the tulub, on the face of the viraz there is a rework. The zagalny camp of the sick man may not have been destroyed.

Diagnostics. Obsezhennya needs to be repaired with a look around the laryngopharynx. Some aliens can only appear in the infantile migdaleas, the roots of the mov, in the pear-like sinus.

In case of indirect laryngoscopy, it is possible to reveal an important sign of an outside body, or by injuries in the first sounding stray - the purchase of a pint-shaped shedding in a pear-like sinus on the sides of the strike. It is possible to support the embryo and infiltration of the arytenoid cartilage. When there is pressure on the larynx region or the trachea, there is a soreness.

Informative x-ray dosage to the stravohode with a contrast, which allows not only external objects, but the sound or blockage of the stravohode. In the presence of perforation to the strand, to the wickedness of the alien body, X-ray can be seen in the purchase of the wind into the windblown cells near the light beaches along the ridge and the back wall of the lower lobule. Zatikannya in the middle of the contrasting mass, which appears during X-ray, as well as familiar perforation.

The residual visnovok is a manifestation of the extraneous nature and its characteristic even when the esophagoscopy was carried out in the bronchoesophagoscopic pathogens of Brunings, Mezrin, Fridel, and nasty fibroscopes.

Likuvannya. Esophagoscopy є the main method of advancing the stravohode and seeing third parties.

Folding. Gostry is an object, wedged into the wall of the stravohode, the wickedness of the destruction of the integrity of the mucous membrane and the information about it. Vinikla іnfіltratsіya will flush out the back of the airway, and then, maybe, I’m going to the middle. Oscillations of the stravohode are not just capsules or fascias, but are removed from the cells, foreign bodies can be immediately perforated with the development of mediastinitis. As the perforation is seen in the upper sides of the trawler, on the other side there is a small amount of emphysema and the strength of soft fabrics.

Hypophageal periophage and mediastinitis, during the first year of positive dynamics at the last massive anti-apophageal therapy, it is shown before the operative involvement and drainage on the way of the cell line, when in the fallow

Side of the larynx, trachea and bronchial tubes

The side of the larynx, trachea and bronchial tubes do not develop very often, however, more often in children, it is linked with insufficiently blamed reflexes. Foreign objects can be any other objects: fruit balls, grains, coins, other parts of the game, buttons, hairpins, etc. For grown-up aliens, they have to practice in a dizzying way more often with alcoholic spirits. You can drink in the dizzy way of dentures, shmatochkіv іzhі, blunt masses and іn.

The outsiders, who have been indulged in dichally, as a rule, do not go to the door. It is tied with that, as only the object will slip through the voice gap, the reflex spasm and the voice folds slowly wiggle. In a number of foreigners, it is possible to get into the trachea wall, or balotuvatsya in її enlightenment. In case of inhalation of a foreigner, it is difficult to straighten out more and pass more often into the right bronchus, so it’s like the left bronchus is wider than it’s and it’s practical for the trachea.

Klinichna picture. To lay down the path of the house, the steps of obturation of the spirited nobles and the nature of the alien body. With the introduction of foreign body into the wall of the larynx, there is a turbulence, the appearance of the breast in the throat, cough, broken down.

Other objects can penetrate the bronchi, causing obstructions. You can stay three views:

naskrazna;

valve;

In case of a tricky viglyad, a third-party object will often enlighten the bronchus and not wicked swells of the dyshally impaired. With a valve blockage, you can drink in the lung during inhalation, however, when you see the bronchus, it sounds like a sound and an alien quietly obturates the airway. As a result of such a dilemma, there is a lot of wind in the legend for the whole hour to grow and develop emphizem. Nareshti, when there is a further obstruction of the dical path, there is an obturation atelectasis of the singing segment of the legends.

Guest, thin alien bodies can wedge themselves into the wall of the larynx or the trachea, coughing and painful symptoms. In the course of penetration, the igniting process can be developed, and in rare cases - sclerosing with a false encapsulation of a third-party body.

An important acquaintance of the alien body of the trachea є a symptom of gryukannya (balotuvannya), yak breast cancer... Vin vynikє with a cough reflex for an hour when a side body hits the lower surface of the vocal folds. Insha is an important sign - a cough, which is against paroxysm and is accompanied by cyanosis.

diagnostics primed on a history of instrumental larynx. In case of bronchial obstruction, it is necessary to carry out auscultation of the lung, to take a mental excursion of both halves breast cancer with a visual look. Obov'yazkovo roentgenologicheskie doslіdzhennya sick, when indicated - tracheobronchoscopia.

Likuvannya. In some strangers it was only a matter of giving in to the aid of direct laryngoscopy. With the presence of a third-party object in the trachea and bronchi, it is visible through the natural paths - an upper tracheobronchoscopy is performed due to the use of anesthesia. In case of a thin and trivial overburden of foreign body, a rotated destructive external dichotomy, as well as at times not far away with a test of the upper bronchoscopy, a string tracheotomy is violated. When looking at a third-party object, vibrate through the tracheotomy opening, so that the lower tracheobronchoscopy

№21. laryngeal stenosis

laryngeal stenosis- the value of the change, for example, beyond the close of the larynx enlightenment.

Gastri stenosis of the larynx

Chronic stenosis of the larynx

Classification Development of hospitals and chroniclestenozygorts.

Gastri stenosis of the larynx

Ethiology You can viniknuti rapta, bliskavichno or razvinutisya step by step stretching decilkoh years. Spasters with true and papillous croup, gastric laryngotracheobronchitis in children, laryngeal larynx, phlegmonous laryngitis, chondroperichondritis, alien alopecia, trauma (mechanical, thermal, bilateral paralysis)

Chronic stenosis of the larynx

Ethiology, pathogenesis It is characterized by the general development of the sound of the larynx and the style. However, in the periodically ongoing contraction of the larynx during uncomfortable minds (burning, trauma, bleeding).

symptoms See the onset stages of stenosis:

Stage I - compensation - is accompanied by a drop in the pace between breath, lengthening of the breath, reflex changes in the heart rate and normal heart rate changes. The voice is old hoarse (for the exclusion of stenosis caused by parallastic laryngeal nerves), stenotic noise appears, which is sensitive to the appearance.

Stage II - decompensation: clearly detect all indications of oxygen hunger, try to get overwhelmed, shrivel up the shells, show a cyanotic appearance The ailment becomes restless, tossed about, to curl up in cold sweat, dyhannya part, the inspiratory noise intensifies.

Stage III - asphyxia (poison) - characterized by the fall of the heart, from the middle of the day, from the early days, to the surface, the distance from the small curves, the ailments to the early days of the winter For the assessment of the degree of stenosis, the lumen of the voice gap is more than one hundred percent. However, with a general increase in wall-sickness, one can cope well with the disease in the lumen of the larynx.

Differential diagnosis When a diagnosis is established, it follows to exclude stenosis, the disorder of the disease in case of diseases of the lungs of the heart.

lykuvannya In case of any disease of the larynx, the danger of stenosis is not included, and it will be necessary to live all the necessary visits on the prevention of the disease. At the stage of compensation, it is still possible to update the health with therapeutic methods (mustard breasts, hot scissors baths, ingestion of oxygen, medication for a group of morphine, dehydration therapy), heart. At the stage of decompensation of the trachea, it is not necessary to safely carry out tracheostomy (in the rest of the rock, with success in stasis prolonged tracheal intubation), in the case of interstitial stenosis-intubation. In the case of a zupinka, they carry out artificial ventilation of the legends when they open the trachea. In ailments, chronic stenosis treatment is directed at the main disease (pukhlina, scleroma in.). When cicatricial wall diseases are used, the surgical methods of treatment - laryngo - іtracheostomyusissection of cicatricial tissue are used.

In some cases, you can get stuck with such a problem, like drinking a side body down your throat. At the same time, it’s not necessary that children’s vigilantes have children, but they’re in the tissues of a patient, but they’re in ribbons or birds, lushin’s from the day and so far. Such a camp is not without fail in Pershu Tim, which can provoke the breath, igniting everything, bringing in infections and developing the mass.

Classification for ICD-10

For the ICD-10, aliens are classed in the throat like the camp of the dickheads. As a matter of fact, you were given the number T17.2. With such an incidence of asphyxia, which is the first symptom and acceleration, it does not pose a real threat to life.

Outside body will start poking it down the throat for a sniff. As a result, the stench does not pass through the shortsy surface of the dystopian nobles, the uneasy lands, and also the great size of IT, the stench does not pass below, but it is a kind of sophisticated mechanism for the body from a great deal of essential element of the distant. Bagato in chomu tsyom spriyє and reflexive speed of the tissue of the throat

Reasons for the appearance of an alien spirit in the throat

There are a number of factors and reasons for using third-party people in the dilemma of the upper end. To them are admitted:

• Lack of importance and lack of fathers;
• Inappropriate, for they did not pick them up for any reason;
• Pohiliy vіk, which is characterized by disrespect, nasty zorom, ruined coordination of the ruch, lowering the dysfunctional reflex of dichal nobles;
• Pidlіtkovy vіk (craving for unfailing experiments);
• Hedgehog prepared incorrectly;
• Shkіdlive virobnitstvo;
• Wrongly vikonanі medical manіpulatsії;
• presence in mouthwash elements, which are easy to penetrate - crowns, prostheses, teeth dropping;
• Detection of pathologies of the nervous system;
• Rose, smіkh, chkhannya in the process of receiving yzhі;
• Komakhi, p'avki, dribnі ribki, scho play in the dizzy way when kovtannі or dіbnі.

According to the group, the group includes the following categories of people:

• People of the kidnapped vik, at some bar's the function of the dichal nobles is weakened neurological damage acute neuritis of the nerves of the laryngeal viddil, pukhlin and so far;
• pіdlіtki;
• children;
• Patients with psychotic illnesses.

Classification

Third party classify by type of item:

• Live - from їzhі to coma;
• Organ_chny - teeth, dentures, pieces of tissue for the body, not for the teeth during the manipulation;
• Inorganic - from udzikiv to іgrashok;
• Metal - from coins to pieces of medical instruments.

Also, the first submission to:

• alive;
• kharchovі;
• Pobutovі;
• Iatrogenic.

Stay up to medical management For example, it is wrong or not entirely visible organic fabrics, too much medical elements in the dick and so far. Naybilsh is often studied in ENT practice, surgery and dentistry.

If you talk about the way of eating, then the outsiders should go to the exogenous and endogenous. Exogenous poralyayut zzovni і are characterized by the attitude of the people. And the axis of the exogenous is set up in til people and play most often with a retrograde path.

The type of usunenny IT is selected according to the characteristics, as well as reanimation come in. The axis of what is important to the nobility, which is the subject of readings by people. So, for example, the use of a ribbons and coins will be readily available as a therapy.

Yak nadati persh will help the child:

symptoms

The symptomatology is generally similar, if it is found in type IT. Significant signs of falling outside the house in the dykhalny way - tse:

• (You can see it on the right, evil or on both sides);
• Seeing a side object;
• Destruction of the dichannia is due to the difficult death of the spirit and to the end of the asphyxia.

In children, the following symptoms can be observed:

• Passivity;
• Appetite visibility;
• Destruction of sleepiness (as a rule, it becomes worse);
• Regular enjoyment until blues;
• Grimaces at kovtannі.

at Gostrich symptoms it is necessary in the general order to turn up to the lor-likar. I have carried out the necessary diagnostics and general manipulation on the use of a third-party subject from the shorts.

• Severe cough;
• Cyanosis of the nasolabial tricot;
• Reflex blues;
• Difficulty dikhannya;

It can be periodical, for example, when it is connected or it is accepted, or it can be of a permanent nature. It is important to reason, but in the first hour, you may not suffer from a deterioration in the first pores, leading to a hoarseness and periodic coughing.

Alle on the smallest end, a swelling of fabric grows quickly, ringing the larynx, and also symptoms of breath. As soon as the second infection comes, the temperature of the warmer rises in parallel, with the smallest space and in the row of the blood.

Great elastic objects start to overwhelm the dizzy paths one at a time, through which a person literally in a second will start the blue. You can beat the victim on the face extreme step perelyaku, yak supravodzhutsya wheezing, methane and convulsive ruks. After 3 hvili, a coma is infused, and after 7-9 hvili, dichanna і sercebittya appears, leading to a lethal result.

Yak nadati will help

In the first place, at the ailing slid, it’s pots_kavitisya, scho became. How can you help us to find the steps of the wickedness of the nobility, and also to the extent of other activities.

Proponate your throat harder. Frequently, the male maneuver allows a quick sound of the throat from a third-party object.

If Lyudin is dykhan, if you can’t be bothered with anything, then you need to go to the hospital right away to see IT.

If the ailment cannot be recognized, if you live in them and show all the signs of smell, then it is important to give me help for Heimlich's help. For a person it is necessary:

• By the way, behind the back of the victim.
• Loosen yogo's torso with your hands like that, fist right hands the curtain of the left and the rostashovuvavya without a middle troch below the ribs.
• Robit with the brush of the right hand, five violent onslaught on the upper part of the abdomen, right on the mountain.

As soon as the dichannia was renewed, then it got involved, as the stranger just left the dickheads. If the ailment has lost its witness, then it is necessary to fix the heart-legendary reanimation.

Children and children are afraid to receive a trocha innax. In vipadku with breast children, it is necessary to put the child down on the hand, press down the lower slit, so that with your fingers press the lower slit, pushing for the whole on the area of ​​the cheeks.

Then five blows are applied in the middle force on the back in the region of the back in the interscapular part. Then turn the little girl upside down and roam five individual ruins in the area one finger lower than the middle line in the sternum area. Zanadto strongly embossed is not possible, but do not ruffle the ribs. When a side body appears in the throat, if there is a possibility of seeing him, who has not stumbled into the distance, then the object will be thrown.

In the case of older children (1-8 years), put them as needed on the number. Dalі dії vikonuyutsya, as indicated vishche. Children from 8 rocks have a classic Heimlich method. Of course, it’s a yak for those who are old enough to be helped, bottom part sternum.

Ways to remove IT from the throat

Diagnostics and dosage

Freeze onset diagnostic methods:

• radiography;

Remain three zasosovyut only in quiet vypadki, as it is the power of the mandate for the organs of dichotomy and etching. Obov'yazkovo vidvidvannya ENT-lykarya.

ways to use

Zastosovuyut the growth of the way of forcing the outside body from the throat. Asphyxia developed, and a tracheostomy was observed in the obovasculature order.

It’s going to take place before the hour of the laryngoscopy.

At the same time, phenobarbital becomes stagnant in children, and anesthetics in older adults, as they add to the zeolite area involved.

If IT is carried out in the middle of the fabric, or in the lining space, shlunochki, pear-like larynx, then surgery will be carried out.

Of course, in the process of managing the tracheostomy, it is not easy to move a third-party object. It is not very difficult to end up with cicatricial stenosis.

Vividness of the foreign body of the throat

The visualization of the alien body of the pharynx is one of the most frequent manipulations. It is very important to bring vitiaguvati ribbons, as they are often inserted into the tissue of infantile migdalin.

First, start before you start, you need to take a quick look at the empty oropharynx, and sometimes and in the laryngopharynx for detecting a third-party object and miscellaneous vprazmіrіv.

Lіkuvannya polyagaє in a vivid side view. The oropharynx is thrown, as a rule, in outpatient minds with tweezers, forceps, or with laryngeal forceps. The knight of alien body from the laryngopharynx can be carried out in stationary minds. Before manipulation, it is necessary to rob the heart, the ailing one to prevent premedication (inject 1 ml of 0.1% atropin and 2 ml of relanium abo valium). Then, for the pre-treatment of the mucous membranes of the pharynx and the empty mouth of 2% with a drop of a lidocaine, or 10% with a drop for lidocaine, with an indirect or direct hypopharyngoscopy (laryngoscopy), the larynx forceps will tighten the throaty forceps.

From the nasopharynx, foreign bodies are often seen with fingers or curved laryngeal forceps. At the same time, it is often used before the withdrawal of a soft infancy with a humic catheter, which is passed through the nis.

Pislya vidalennya outside the body priznachayut a merciful day, rinsing the throat with disinfectious diseases. As soon as there is an acceleration, then it is necessary to go into antibacterial, anti-epileptic and anti-edema therapy.

V. Petryakov

2771 0

Side of the nasal part of the pharynx

Third-party mind can go into adenoid tissue, for example, after memory when changes appear in the nasal part of the pharynx, the reason for which has not been established. It is seen here і live foreign bodies (worms, worms).

With the localization of third-party til in the nasal part of the pharynx, it means: perspiration, cough, nudity, there may be some bleeding (with the appearance of symptoms and hospitality). Diagnosis is not important, because it is possible to carry out a posterior rhinoscopy. When you look around, you see a little sleep, as well as a microscopic examination and a nasopharyngoscopy. It is necessary for the establishment of the diagnosis of the type of disease to allow the removal of finger and radiological data; the results are the last with contrasting sides є virish.

It is not necessary to see the side of the nose from the nasal part of the pharynx. For the sake of a vivid wetness, it is recommended to pry the nasal part of the throat with salt water. It’s hard to wedge in aliens and sometimes it’s growing up. Most often, such vipadkas have to go into surgical engagement... Wide access to the nasal part of the pharynx is opened by the middle rosette of a soft pidnebinnya.

Side of the mouth of the pharynx

The presence of an outside body in the mouth part of the pharynx is established when looking around. With pharyngoscopy, it is possible to reveal hemorrhage and damage to the integrity of the mucous membrane. For this purpose, small thin ribs of brushes and analogous objects for sizes are needed, special respect, spirits and patience of a person and a sick person is required.

Difficult discovery of such objects is encumbered by their small size, because of their insight; Some objects are ice-cold and it is not easy to recognize them from strands. Ribbed cakes, in addition, can be placed on the fabric of the small dimple, which is called a short tip, which is important to wipe.

With special respect, it is necessary to wrap up in love with the localization of third parties in a wide variety of views. Korin movi, flashlights, The small bows are guilty but they are looked around especially reliably. Gladachevі, іdchuttya wіth controllable dotsіkіvі. On palpation, the ailment itself does not give a sore point.

In quiet droplets, if it’s possible, it’s alien to localization in the flickers, it’s necessary to “wiggle” (wrap around) with a spatula and look around the lacuni. The stones in the dales appear as the path of the probe. Metal fragments, which are found in the mouth of the pharynx, are clearly visible on radiographs.

The visible side of the mouth of the pharynx should be carried out on the heart, and in case of advanced pharyngeal reflexes - if the pharynx is smeared with 1-2% of the risk of adrenaline or pulverization. With the help of a thoroughly vikoristovuvati dovgі pіnceti, blood-spinnable type of Pean, nasovі pincers of Hartmann. Zapholyuvat side tilo, scho to be in the vallekul, by hand with laryngeal forceps.

With known side effects in the orthoglottitis, there may be some accelerated symptoms: parapharyngeal abscess, parapharyngeal abscess and phlegmon with development in a later mediastinitis, bleeding from great sufferers - traumatic and erosive.

IN. Kalina, F.I. Chumakov