[Acute abdominal syndrome in blood system diseases].
| Autor: | Karagiulian SR, Shutov SA, Grzhimolovskiĭ AV, Shavlokhov VS, Lukina EA, Zvonkov EE, Shulutko EM, Bulanov AIu, Vasil'ev SA, Sukhanova GA, Shutova NA, Kaplanskaia IB, Shaforostova II |
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| Jazyk: | ruština |
| Zdroj: | Terapevticheskii arkhiv [Ter Arkh] 2010; Vol. 82 (12), pp. 39-43. |
| Abstrakt: | Aim: To define an optimal diagnostic and therapeutic algorithm when the acute abdominal syndrome occurs in hematological patients. Materials and Methods: The results of 145 emergency surgeries made in 2006-2008 for acute abdominal syndrome were studied in patients with blood system diseases. Results: Clinical manifestations of acute abdominal syndrome emerge in 1-1.4% of all the patients treated at the Hematology Research Center, Russian Academy of Medical Sciences. There is a need for surgery in 0.5-0.7% of all the patients admitted. In this group of patients, annual postoperative mortality is 12-16%. Conclusion: The routine algorithm for a diagnostic search in hematological patients with acute abdominal syndrome can lead to both hyperdiagnosis and unwarranted surgery, and incorrect choice of expectant policy as well. |
| Databáze: | MEDLINE |
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