THE POSSIBILITIES OF IMPROVEMENT OF DIAGNOSTIC AND TREATMENT TACTICS IN TRAUMA OF THE PANCREAS
https://doi.org/10.24884/2072-6716-2017-18-1-50-54
Abstract
The results of the treatment of 182 patients with pancreatic trauma are presented. The use of an advanced diagnostic and treatment algorithm, included the routine use of modern instrumental diagnostic methods, such as ultrasound, computed tomography, diagnostic laparoscopy, limitation of indications for plugging, omentobursostomy, suturing capsule of pancreas, cholecystostomy, has reduced the time elapsing from the moment of hospitalization to operation an average from 9.3 to 3.3 hours, to reduce the frequency of septic complications from 16.5% to 8.2%, and the percentage of mortality from 24.7% to 18.8%.
About the Authors
A. B. Singaevsky
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
B. V. Sigua
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
N. M. Vrublevsky
City Hospital № 40
Russian Federation
Russian Federation
St. Petersburg
A. V. Nikiforenko
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
A. A. Kurkov
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
A. K. Dukov
City Hospital № 3
Russian Federation
Russian Federation
St. Petersburg
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Review
For citations:
Singaevsky A.B., Sigua B.V., Vrublevsky N.M., Nikiforenko A.V., Kurkov A.A., Dukov A.K. THE POSSIBILITIES OF IMPROVEMENT OF DIAGNOSTIC AND TREATMENT TACTICS IN TRAUMA OF THE PANCREAS. EMERGENCY MEDICAL CARE. 2017;18(1):50-54. (In Russ.) https://doi.org/10.24884/2072-6716-2017-18-1-50-54
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