[Differentiated approach to choice of strategy in the treatment of patients with acute obstruction of the small intestine depending on the stage of the clinical course of disease].
On the basis of results of complex treatment of 427 patients with acute small bowel obstruction the authors of the article have established five stages of the clinical course of the disease. The stage of ischemia was diagnosed in 26.9% of the patients, the stage of water-electrolytic disturbances--in 26.2% the peritonitis stage--in 15.9%, the stage of multiple organ insufficiency at the postoperative period--in 8.9%. The stage of chronic intestinal insufficiency at the remote postoperative period was diagnosed in 41.1% of the patients operated upon. The amount of lethal outcomes was found to depend on the stage of the clinical course of the acute small bowel obstruction in which complex treatment had been started.
Chernov
V N
VN
Khimichev
V G
VG
D000208:Acute Disease; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000401:mortality / Q000601:surgery*; D007421:Intestine, Small / Q000098:blood supply; D007511:Ischemia / Q000209:etiology; D009102:Multiple Organ Failure / Q000209:etiology; D010538:Peritonitis / Q000209:etiology; D011183:Postoperative Complications; D014883:Water-Electrolyte Imbalance
Differentsirovannyĭ podkhod k vyboru taktiki lecheniia bol'nykh s ostroĭ neprokhodimost'iu tonkoĭ kishki v zavisimosti ot stadii klinicheskogo techeniia zabolevaniia.