[Criteria determining indications to operative treatment of purulent complications of acute pancreatitis in patients who had endured endovideosurgical interventions at the enzymatic phase].

Autor: Shugaev AI, Papsheva VV, Mosoian SS
Jazyk: ruština
Zdroj: Vestnik khirurgii imeni I. I. Grekova [Vestn Khir Im I I Grek] 2011; Vol. 170 (1), pp. 15-7.
Abstrakt: An analysis of 72 criteria was made which include 5 main (hectic fever, tachycardia, leukocytosis with a neutrophilic shift to the left, decreased index of the relation of total protein to the amount of values of urea and creatinin less than 0.94 c.u., male sex), 3 additional (anemization, hypoproteinemia, decreased index of the relation of temperature to pulse rate less than 0.5 c.u.) and 1 determinant (the presence of liquid in the abdominal cavity and/or in the omental bursa and/or in the retroperitoneal space. In the presence of three of the main and one of additional signs the indications to operation are determined with probability 90.2%, and in the presence of three main and one additional and determinant--100%.
Databáze: MEDLINE