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Сравнительная оценка эффективности диагностики и хирургического лечения больных портальной гипертензией

Сравнительная оценка эффективности диагностики и хирургического лечения больных портальной гипертензией

Abstract

Проанализированы клинические, лабораторные, инструментальные данные, характер, тяжесть осложнений и исходы заболеваний в трех группах пациентов. 1-я группа — 22 человека с внутрипеченочной и внепеченочной портальной гипертензией (ВПГ), у которых в плановом порядке в связи с высоким риском возникновения пищеводно-желудочного кровотечения были выполнены шунтирующие операции в различных модификациях. 2-я группа — 15 пациентов с циррозом печени (ЦП) и внутрипеченочной ПГ, у которых в плановом порядке было выполнено прошивание ВРВПЖ по М.Д. Пациора. 3-я группа — 28 больных ЦП и внутрипеченочной ПГ, у которых прошивание ВРВПЖ по М.Д. Пациора было выполнено по экстренным показаниям в связи с развившимся пищеводно-желудочным кровотечением. Общее количество осложнений у больных 1-й группы составило 27,3%, у больных 2-й группы — 33,3%, у больных 3-й группы — 57,1%. Послеоперационная летальность у больных 1-й группы составила 4,5%, у больных 2-й группы летальности не было, у больных 3-й группы — 35,7%.

Analyzed clinical, laboratory and instrumental data, the nature, severity and outcome of disease complications in three groups of patients. I group — 22 people with intrahepatic and extrahepatic portal hypertension (HSV), who routinely due to the high risk of bleeding esophagealgastric bypass operations were performed in different versions. Group II — 15 patients CPU and intrahepatic GHG who routinely been performed by suturing VRVPZH MD Patsiora. Group III — 28 patients with cirrhosis and intrahepatic GHGs that have stitching on VRVPZH MD Patsiora was performed by emergency indications in connection with the high-spirited esophageal-gastric bleeding. the total number of complications in patients of group 1 was 27,3% in patients in group 2 — 33,3%, in patients with the third group — 57,1%. Postoperative mortality in patients of group 1 was 4,5 % in patients in group 2 had no mortality, in patients with the third group — 35,7%.

Keywords

ПОРТАЛЬНАЯ ГИПЕРТЕНЗИЯ, ПИЩЕВОДНО-ЖЕЛУДОЧНОЕ КРОВОТЕЧЕНИЕ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold
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