Kozyrev M A
Khirurgiia (Mosk). 1990 Oct(10):42-5.
On the basis of experience in the treatment of 1,276 patients who were operated on for various forms of obstructive jaundice and acute hepatic insufficiency, the author recommends including in the therapeutic complex, besides the commonly accepted therapy, hemo- and lymph sorption, combined anesthesia including electroanalgesia, and controlled dosed decrease of pressure in the biliary system during and after the operation. With the use of this complex of treatment in obstructive jaundice complicated by acute hepatic insufficiency, lethality fell from 13.1% to 5.9%.
基于对1276例因各种形式的梗阻性黄疸和急性肝功能不全而接受手术治疗患者的经验,作者建议在常规治疗之外,将血液和淋巴吸附、包括电镇痛的联合麻醉以及手术期间和术后对胆道系统压力进行控制性定量降低纳入治疗方案中。在伴有急性肝功能不全的梗阻性黄疸中使用这种综合治疗方案后,死亡率从13.1%降至5.9%。