title: [The treatment process optimization in patients suffering from acute disorder of mesenteric blood circulation].
abstract: The results of treatment of 253 patients, suffering an acute disorder of mesenteric blood circulation, were analyzed; the treatment program, applied in 55 patients, was optimized. Timely diagnosis in the tissues the ischemia stage as well as during restoration of blood circulation in a. mesenterica superior, while its proximal occlusion, application of a "second-look" tactics have had secured beneficial results of treatment in patients, the lethality was 33%. Intraoperative application of redoxmetry for estimation of the intestine life capacity have had promoted prophylaxis of the sutures insufficiency in interintestinal anastomoses. Optimization of the treatment tactics (two-staged surgical treatment with retrograde jejunal intubation, the postponed formation of anastomosis) gave possibility to reduce lethality in patients, suffering arterial occlusion from 75 to 60% (P<0.05).
authors.forename: I A
authors.initials: IA
authors.lastname: Danylenko
authors.forename: M H
authors.initials: MH
authors.lastname: Kononenko
authors.forename: V V
authors.initials: VV
authors.lastname: Leonov
authors.forename: L H
authors.initials: LH
authors.lastname: Kashchenko
mesh_terms: D000208:Acute Disease; D000714:Anastomosis, Surgical; D004566:Electrodes; D055724:Electrophysiological Phenomena; D006801:Humans; D007422:Intestines / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D007582:Jejunostomy / Q000379:methods*; D017538:Mesenteric Artery, Superior / Q000473:pathology / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008643:Mesentery / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D010084:Oxidation-Reduction; D012720:Severity of Illness Index; D013152:Splanchnic Circulation; D015996:Survival Rate; D014546:Urinary Catheterization