title: [The ways of improvement of pancratonecrosis treatment].
abstract: The data of 220 patients with acute necrotic pancreatitis are analyzed. The lethality comprised 25%. The main reasons of treatment failure are late beginning of the intensive treatment in consequence of diagnostic mistakes, absence of preventive measures and adequate antibacterial therapy of pneumonia in patients on artificial lung ventilation, lack of necessary treatment in patients with disseminated intravascular clotting syndrome. Therefore, a wide introduction of clinical tests for early diagnosis and prognose the severity of the disease, are indispensable. The prognose-aligned preventive treatment is essential, which should include effective prophylaxis of the life-threatening complications. The invasive diagnostic and treatment procedures in early period of the disease can seriously deteriorate the patient's state and should be performed only if absolutely indicated.
authors.forename: N A
authors.initials: NA
authors.lastname: Kuznetsov
authors.forename: G V
authors.initials: GV
authors.lastname: Romodan
authors.forename: T I
authors.initials: TI
authors.lastname: Shalaeva
authors.forename: A A
authors.initials: AA
authors.lastname: Nalivaĭskiĭ
mesh_terms: D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate; D014057:Tomography, X-Ray Computed / Q000379:methods