Vladimir Valentinovich Ignat'ev

Algoritm Khirurgicheskogo Lecheniya: Bol'nykh S Ostroy Tonkokishechnoy Neprokhodimost'yu Vladimir Valentinovich Ignat'ev Russian edition

Rabota posvyashchena ostroy tonkokishechnoy neprokhodimosti, aktual'nost' kotoroy ostaetsya chrezvychaynoy. Dannaya patologiya kharakterizuetsya groznymi oslozhneniyami, vysokoy letal'nost'yu. Osnovnoy prichinoy tonkokishechnoy neprokhodimosti yavlyayutsya spayki bryushnoy polosti, voznikayushchie posle khirurgicheskikh operatsiy, travm, ostrykh i khronicheskikh abdominal'nykh zabolevaniy. V svyazi s etim neobkhodimo pomnit' o profilaktike spaechnoy bolezni: berezhnoe obrashchenie s organami, rannyaya aktivizatsiya bol'nykh posle operatsii, stimulyatsiya motoriki kishechnika. Neredko khirurgi stalkivayutsya s trudnostyami v diagnostike. Predlozhennyy avtorami lechebno-diagnosticheskiy algoritm pozvolyaet differentsirovanno podoyti k kazhdomu bol'nomu, izbezhat' naprasnykh operatsiy. Neobosnovannye operativnye vmeshatel'stv, kak pravilo, vedut k neblagopriyatnym rezul'tatam. Nazointestinal'naya intubatsiya kak metod dekompressii kishechnika yavlyaetsya na segodnyashniy den' metodom vybora. Rezul'tatom raboty yavilos' uluchshenie rezul'tatov khirurgicheskogo lecheniya bol'nykh s ostroy tonkokishechnoy neprokhodimost'yu v konkretnom statsionare. Dannyy algoritm vnedren v praktiku khirurgami raznykh bol'nits Respubliki Sakha (Yakutiya).