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Вестник НовГУ > 2011 > №62 > Afanasiev A.N., Kirillin A.V., Selivanova O.E., Shalygin A.B. Differentiated treatment and diagnostic tactics in acute destructive pancreatitis

Afanasiev A.N., Kirillin A.V., Selivanova O.E., Shalygin A.B. Differentiated treatment and diagnostic tactics in acute destructive pancreatitis

УДК 616-089
A f a n a s i e v A. N., K i r i l l i n A. V., S e l i v a n o v a O. E., S h a l y g i n A. B. Differentiated treatment and diagnostic tactics in acute destructive pancreatitis // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.36-39.
Acute pancreatitis for several years consistently ranks second, and in some regions - first place in the structure of the urgent surgical pathology, ahead of acute appendicitis and acute cholecystitis. The most common cause of disease is alcohol abuse and gallstone disease in 10-30% of patients the etiology of acute pancreatitis remains unclear. Basis of the study were the results of examination and treatment of 136 patients with destructive forms of acute pancreatitis, enrolling for treatment at the Clinical Hospital № 23 them. «Medsantrud» in the period from 2008 to 2010 for acute pancreatitis. In the studied group did not include the postoperative biliary and infected pancreatic necrosis because of features of pathogenesis. Differentiated approach to surgical treatment in patients with destructive pancreatitis depending on the scale of the initial lesion of the pancreas has allowed an average reduction in the number of purulent complications per patient in 4 times (from 9,8% to 2,2%), lower letalnost of purulent complications 3 times (from 15,3% to 5,5%).
Библиогр. 13 назв.

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