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[再次剖腹手术的预后]

[Prognosis in the outcome of relaparotomy].

作者信息

Zavernyi L G, Poida A I, Mel?ik V M, Bondarenko N D, Tarasov A A, Nadeev S S, Stepanik V Ia

出版信息

Klin Khir (1962). 1992(8):12-6.

PMID:1287325
Abstract

The analysis and processing with the use of a special method of 54 direct observations and 342 case records of the patients with early postoperative intraabdominal complications were carried out. A method for syndrome prediction of the outcomes of relaparotomy has been developed. The syndromes of the most significant predictive value have been revealed: those of intoxication, respiratory and hepatorenal failure, impaired hemodynamics and electrolytic metabolism, hemocoagulation. Use in clinical practice of the method mentioned as well as the methods promoting timely detection of the intraabdominal complications permitted to reduce lethality after relaparotomy from 21.4 to 15.3%.

摘要

采用一种特殊方法对54例直接观察病例和342例术后早期腹腔内并发症患者的病历进行了分析和处理。已开发出一种预测再次剖腹手术结果的综合征预测方法。已揭示出具有最重要预测价值的综合征:中毒综合征、呼吸和肝肾衰竭综合征、血流动力学和电解代谢受损综合征、血液凝固综合征。上述方法以及有助于及时发现腹腔内并发症的方法在临床实践中的应用使再次剖腹手术后的死亡率从21.4%降至15.3%。

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