In thermal injury, the gastrointestinal tract is the target organ. General overheating of the body causes intestinal barrier breakdown, translocation of bacteria and enterotoxins, oxidative shock, etc. These complications significantly aggravate the course of the pathological condition, increase the duration of treatment and mortality. However, this issue is practically not covered in domestic literary sources. Based on the data from foreign special literature and our own clinical experience, we managed to systematize the main pathological points of pathogenesis, course and therapeutic approach in gastrointestinal lesions due to general unintentional overheating of the body.
Non-freezing cold injury is a general term that includes trench foot and immersion foot and is characterized by damage to the soft tissues, nerves, and vessels of the distal extremities as a result of long stay (usually two to three days or longer) in wet, cold (but not freezing: typically 0 to 15 °C) conditions. Trench foot syndrome primarily affects military personnel, fishermen, agricultural workers, travelers, and other segments of the population. In wartime, the number of such local cold injuries increases several times. Unfortunately, in domestic medical developments, this problem is practically not given due attention. Based on data from foreign literary sources and their own clinical experience, the authors were able to highlight the main patterns of pathogenesis and clinical picture of this pathological condition with justification of treatment tactic and preventive measures.
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