[The parameters of physico-chemical properties of bile and urine in the diagnosis of pancreatitis associated with cholelithiasis].
Specific electrical conductance (SEC) of the hepatic bile in 94 patients with cholelithiasis and concomitant pancreatitis was increased (p < 0.001) and depended on the degree of cholestasis and the morpho-functional state of the liver. The value of SEC of the intraoperative bile higher than 193 S/m is taken for a criterion of the diagnostics of biliary pancreatitis. The electrical conductance of urine during the first 4 days of observation decreased in patients with acute pancreatitis (p < 0.05), impaired carbohydrate metabolism and concomitant renal dysfunction. The value of SEC of urine lower than 238 S/m corresponds to acute pancreatitis. The investigation of physico-chemical indices of biological liquids in patients with a pathology of the pancreato-biliary system allows to objectively control the course of the disease and to correct the treatment methods.
Cherkasov
V A
VA
Popov
A V
AV
Gushchenskiĭ
L B
LB
Palatova
L F
LF
D000328:Adult; D000368:Aged; D001646:Bile / Q000378:metabolism*; D050260:Carbohydrate Metabolism; D002761:Cholangitis / Q000150:complications; D002763:Cholecystectomy; D002764:Cholecystitis / Q000150:complications / Q000378:metabolism* / Q000601:surgery / Q000652:urine; D004553:Electric Conductivity; D004573:Electrolytes / Q000378:metabolism; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications / Q000378:metabolism* / Q000601:surgery / Q000652:urine; D011184:Postoperative Period; D011379:Prognosis; D013997:Time Factors; D014556:Urine / Q000737:chemistry; D014882:Water-Electrolyte Balance
D004573:Electrolytes