CRITERIA OF WEIGHT OF A CONDITION OF PATIENTS IN AN ESTIMATION OF EFFICIENCY OF TREATMENT OF THE WIDESPREAD PERITONITISJournal: I.P. Pavlov Russian Medical Biological Herald (Vol.5, No. 12)
Publication Date: 2004-04-15
Authors : K.V. Kostyuchenko; V.V. Ribachkov;
Page : 35-40
Keywords : ;
Results of treatment of 575 patients with the widespread peritonitis are analysed depending on time of its development, weight of a surgical infection. Variants of clinical current of the widespread peritonitis which are compared to the basic methods of surgical tactics ? half-closed and half-opened are considered. Studying conditions of patients is lead on the basis of scale APACHE II, Mannheimer Peritoneal Index, a degree organ dysfunctions. On the basis of these parameters the expediency of the elected variants of surgical tactics is investigated. At studying efficiency of various methods decompression a thin gut in a combination with peritoneal-enteral lavage value of these methods is confirmed at the widespread purulent peritonitis, and in quality of the most expedient is determined (sub) total naso-intestinal intubation.
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