DIAGNOSIS OF LOCAL COMPLICATIONS OF ACUTE PANCREATITIS AT THE STAGES OF ITS TREATMENT
Journal Title: World Science - Year 2017, Vol 4, Issue 12
Abstract
The aim. To study the diagnostic value of individual clinical and laboratory manifestations associated with the development of intra-and peripancreatic collections according to the Atlanta 2012 Classification Review for the timely addition or modification of the tactics. Materials and methods. 72 patients were examined. In accordance with the tasks, the patients were divided into 3 groups. The first (main) group of the study consisted of 30 (41.67 %) patients who used CT for indications and the classification of acute pancreatitis was used according to the View. The comparison group consisted of 32 patients (44.44 %) who were treated in 2011 and 2013, they used the Atlanta 1992 Classification. The control group consisted of 10 patients (13.89 %) who were hospitalized for scheduled surgical intervention in a satisfactory condition. The examination was performed three times: during hospitalization (first study), 1 week (second study) and 2 weeks after hospitalization or discharge (third study). Results and discussion. The most characteristic clinical symptom is abdominal pain, which in 100 % of cases is accompanied by necrotic pancreatitis, and 70 % - oedematosis. The main laboratory symptom was lymphopenia, which occurred in 70 % of cases (78.95 % and 54.55 % for necrotic and oedematosis pancreatitis, respectively). Nausea was observed at a frequency of 70.0 %, with a significantly higher incidence (p = 0.042) in patients with necrotic pancreatitis (84.21 %) than in the subgroup with oedematosis form disease (45.45 %). Among the local complications are dominated by encapsulated forms. Lymphocyte level was determined, which helps to predict the development of local complications, their infection and the need for surgical intervention. Conclusion.The most characteristic clinical symptom is abdominal pain, which in 100 % of cases is accompanied by necrotic pancreatitis, and 70 % - oedematosis. The main laboratory symptom was lymphopenia, which occurred in 70 % of cases (78.95 % and 54.55 % for necrotic and oedematosis pancreatitis, respectively). Among the local complications are dominated by encapsulated forms. Lymphocyte level was determined, which helps to predict the development of local complications, their infection and the need for surgical intervention.
Authors and Affiliations
Volodymyr Ivanovych Desyateryk, Maryna Sergiivna Кrykun
Keywords
Related Articles
- EP ID EP445071
- DOI -
- Views 81
- Downloads 0
LOW-LEVEL DATA RECOVERY FROM FLASH MEMORY
This paper suggests a low level approach for the examination of flash memories and describes low-level data acquisition methods for making full memory copies of flash memory devices. Artifacts, caused by flash specific o...
ФОРМУВАННЯ НАВИЧОК ПРОФЕСІЙНОГО СЦЕНІЧНОГО ГОЛОСУ НА ОСНОВІ МЕТОДИЧНИХ ПРИЙОМІВ ТА КОМПЛЕКСНОЇ СИСТЕМИ ВПРАВ У КЛАСІ СЦЕНІЧНОЇ МОВИ
The article deals with the problem of improvement of the methodology of the voice formation of the actor of the theatre and cinema in the class of stage speech. Taking into consideration the logical structure and many si...
КАЧЕСТВО ЖИЗНИ БОЛЬНЫХ РАКОМ ШЕЙКИ МАТКИ В ЗАВИСИМОСТИ ОТ РЕЖИМА ПРОВЕДЕННОЙ ЛУЧЕВОЙ ТЕРАПИИ
Purpose: the aim of this study was to investigate quality of life of patients with cervical cancer depending on radiotherapy modality. Methods and materials: totally 246 patients were included. Distribution by FIGO stage...
PECULIARITIES OF INTRA-ABDOMINAL AND ABDOMINAL PERFUSION PRESSURES IN EPIDURALLY ANESTHETIZED PATIENTS WITH CHOLECYSTOPANCREATITIS
Background: Epidural anesthesia (EA) is still being investigated as a non-surgical method of abdominal decompression, with the help of which selective abdominal myorelaxation is conducted. The aim of this work is to inve...
SUBSTANTIATION OF THE POTENTIAL OF MEDICINAL RAW MATERIAL IN CHERNIVTSI ADMINISTRATIVE REGION AS AN IMPORTANT COMPONENT OF REGIONAL NATURAL-RECREATIONAL RESOURCES
The article deals with substantiation of floristical composition of medicinal plants, their distribution within geo-botanical regions, and recommendations for stockpiling volumes, growing and use.