Aim. To study the state of oral mucosa and rationale of its changes in patients with a laboratory-confirmed diagnosis of SARS-CoV-2, moderate severity.
Materials and methods.A retrospective single-center study was conducted on patients who were in the infectious diseases department from May to June 2020 with an initial diagnosis of ICD-X: J18.9: coronavirus infection. This study included 90 patients aged 24 to 83 years (52 male and 38 female, average age 53.6 ± 9.7 years).Results. C-reactive protein was increased in 81 individuals upon admission (44.15 ± 31.8 mg / dl). Twenty patients had increased fibrinogen values (average increased fibrinogen values were 5.96 ± 1.6 g / l). The analysis for D-dimer was held in 15 patients (average value 348.6 ± 103.68 ng / ml), 10 people from that with the increased indicators (435 ± Volume 18, 02/2020 Исследование / Scientific researches 24 ng / ml). Hemorrhagic manifestations occurred in 12 (13.3%) patients, whose history was not burdened. Pronounced xeroderma of the facial region and angular cheilitis were detected in 21 (23.3%) patients. In 80 patients (88.8%), an examination of the mucous membrane of the tongue was observed plaque from white, light yellow to brown. In 36 (40%) patients, pigmentation was detected in the area of the attached gingiva on the upper and lower jaws.Conclusions. , changes in oral mucosa are not the primary cause, but appear as a result of drug treatment and disease progression, despite the fact that the oral cavity is one of the sources of entry gates for infection.
The article examines new organizational and economic decisions on the planning of inpatient care within the framework of the territorial program of compulsory health insurance. The peculiarities of the multi-disciplinary hospital, which provides medical care not only to patients living in close proximity to the medical organization, but also to non-resident patients are taken into account. The main group characteristics of hospitals and the specifics of the formation of the number of hospitalizations for them have been determined.
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