OPTIMIZATION OF DETOXICATION THERAPY IN EMERGENCY SURGERY

A P Vlasov; M F Zarivchatsky; R M Kudankin; T A Kochetkova; M V Volkova; V V Yarusova

doi:10.17816/pmj3216-11

Perm Medical Journal ›› 2015, Vol. 32 ›› Issue (1) :6 -11. DOI: 10.17816/pmj3216-11

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OPTIMIZATION OF DETOXICATION THERAPY IN EMERGENCY SURGERY

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Abstract

Aim. To determine the efficiency of ultraviolet radiation of blood in correction of endogenous intoxication symdrome in patients with acute cholecystopancreatitis who underwent cholecystectomy for destruction of cholecystitis. Materiams and methods. The study was based on clinicolaboratory material. Results. Patients with acute cholecystopancreatitis operated for destructive cholecystitis against the background of using photomodified autoblood in the early postoperative period were reported to have significant reduction in expression of endogenous intoxication, which was manifested by reliable decline in blood plasma toxic products of hydrophilic and hydrophobic nature, as well as in Kal’f-Kalif leukocytic intoxication index. Along with decrease in inflammatory phenomena in the area of the operation, there was reduction of not only clinical manifestations of acute pancreatitis, but of laboratory data as well, including fall in blood plasma alpha-amylase, phospholipase and protease activity. Conclusions. Ultraviolet radiation of autoblood in patients with acute cholecystopancreatitis, who had undergone cholecystectomy permits to improve significantly the early postoperative course and to stop clinicolaboratory phenomena of acute pancreatitis.

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Endotoxicosis / acute cholecystopancreatitis / quantum therapy

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A P Vlasov, M F Zarivchatsky, R M Kudankin, T A Kochetkova, M V Volkova, V V Yarusova. OPTIMIZATION OF DETOXICATION THERAPY IN EMERGENCY SURGERY. Perm Medical Journal, 2015, 32(1): 6-11 DOI:10.17816/pmj3216-11

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