RESUMO
The dynamics of cytopathic hypoxia markers in patients with acute pancreatitis (AP) biliary etiology (BE), depending on the presence of concomitant diabetes mellitus (DM), which is an independent factor of premorbid severity increase and increase in the degree of operational and anesthetic risk. Markers of cytopathic hypoxia use as methods for early diagnosis of acute liver failure (ALF) and monitoring the effectiveness of its correction promising. In terms of cytopathic hypoxia may be at the stage of laboratory diagnostics to distinguish between destructive and non-destructive forms APBE, and for markers of endothelial dysfunction--destructive forms on the area and depth of destruction of the pancreas.
Assuntos
Ducto Colédoco/patologia , Diabetes Mellitus Tipo 1/patologia , Diabetes Mellitus Tipo 2/patologia , Hipóxia/patologia , Falência Hepática Aguda/patologia , Pancreatite Necrosante Aguda/patologia , Adenosina Desaminase/sangue , Adulto , Idoso , Arginina/sangue , Biomarcadores/sangue , Estudos de Casos e Controles , Ducto Colédoco/metabolismo , Ducto Colédoco/cirurgia , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 1/cirurgia , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/cirurgia , Feminino , Humanos , Hipóxia/sangue , Hipóxia/complicações , Hipóxia/cirurgia , Fígado/metabolismo , Fígado/patologia , Fígado/cirurgia , Falência Hepática Aguda/sangue , Falência Hepática Aguda/etiologia , Falência Hepática Aguda/cirurgia , Masculino , Pessoa de Meia-Idade , Pâncreas/metabolismo , Pâncreas/patologia , Pâncreas/cirurgia , Pancreatite Necrosante Aguda/sangue , Pancreatite Necrosante Aguda/complicações , Pancreatite Necrosante Aguda/cirurgia , Índice de Gravidade de Doença , Xantina Desidrogenase/sangue , Xantina Oxidase/sangueRESUMO
Comparative analysis of the treatment results in 97 patients for biliary calculous disease, complicated by choledocholithiasis, using the stressed standard carboxyperitoneum method (12 mm Hg) and the dosed one lift-assisted carboxyperitoneum (4 - 6 mm Hg), was conducted. Perioperative indices of hemodynamics arid postoperative pain syndrome severity were considered the criterions of the stressor-like and the damaging action. The results obtained witness trustworthy a more safe effect of the method of the labor space creation.
