[Extracorporeal hemocorrection in acute pancreatitis].
An experience with using 340 operations of extracorporeal hemocorrection in complex intensive therapy of 160 patients with acute pancreatitis has been generalized. In 111 of these patients (69%) pancreatic necrosis complicated by the syndrome of multiple organ failure was diagnosed. Based on the mechanisms of medical efficiency the authors have developed differential indications for using different extracorporeal technologies depending on the clinico-laboratory profile of the endogenous intoxication, structure and degree of organic and systemic dysfunctions. The adoption of such technologies allowed lethality to be reduced from 37.5 to 27.6%.
Romanchishen
A F
AF
Chalenko
V V
VV
Dubchenko
S G
SG
Pastukhova
N K
NK
Zotikov
A G
AG
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001769:Blood / Q000528:radiation effects; D001804:Blood Transfusion, Autologous; D005260:Female; D006801:Humans; D007834:Lasers; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D010195:Pancreatitis / Q000150:complications / Q000601:surgery / Q000628:therapy*; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications / Q000601:surgery / Q000628:therapy; D010956:Plasmapheresis; D016060:Sorption Detoxification; D014466:Ultraviolet Rays