[Prevention of gastrointestinal bleeding in patients with advanced burns].

Autor:	Vagner DO; Dzhanelidze St. Petersburg Research Institute for Emergency Care, St. Petersburg, Russia; Mechnikov Northwestern State Medical University of Healthcare Ministry of the Russian Federation, St. Petersburg, Russia., Krylov KM; Dzhanelidze St. Petersburg Research Institute for Emergency Care, St. Petersburg, Russia., Verbitsky VG; Dzhanelidze St. Petersburg Research Institute for Emergency Care, St. Petersburg, Russia., Shlyk IV; Pavlov First St. Petersburg State Medical University of Healthcare Ministry of the Russian Federation.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2018 (3), pp. 42-48.
DOI:	10.17116/hirurgia2018342-48
Abstrakt:	Aim: To reduce the incidence of gastrointestinal bleeding in patients with advanced burns by developing a prophylactic algorithm. Material and Methods: The study consisted of retrospective group of 488 patients with thermal burns grade II-III over 20% of body surface area and prospective group of 135 patients with a similar thermal trauma. Standard clinical and laboratory examination was applied. Instrumental survey included fibrogastroduodenoscopy, endoscopic pH-metry and invasive volumetric monitoring (PICCO plus). Statistical processing was carried out with Microsoft Office Excel 2007 and IBM SPSS 20.0. Results: New algorithm significantly decreased incidence of gastrointestinal bleeding (p<0.001) and mortality rate (p=0.006) in patients with advanced burns.
Databáze:	MEDLINE
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