ABSTRACT
An analysis of 77 case histories of people who died from destructive pancreatitis is presented. Medico-tactical errors and complications were found out. A differentiated approach to treatment of acute pancreatitis was shown to be necessary depending on the stage of the disease. Preference is given to complex conservative therapy with the closed-type little-invasive operations. The total amount of patients with acute pancreatitis for the period under analysis is 1644. Postoperative lethality was 46%, total lethality--4.7%.
Subject(s)
Pancreatitis/diagnosis , Pancreatitis/surgery , Acute Disease , Adult , Aged , Aged, 80 and over , Combined Modality Therapy , Diagnostic Errors , Female , Humans , Male , Middle Aged , Pancreatitis/complications , Pancreatitis/mortality , Time Factors , Treatment OutcomeABSTRACT
Results of the clinical use of lymphosorption in 57 patients with hepatic insufficiency of various etiology are described. Lymphosorption was found to be an effective method in exo- and endogenous hepatic insufficiency of the I and II degree. The detoxicating effect was decreased in patients with cholangitis and other purulent complications, hepatic coma with extensive necroses of the liver. Lymphosorption is thought to be inexpedient in malignant tumors of the liver with the symptoms of cancer intoxication.