BEBURISHVILI ANDREJ GEORGIEVICH,Бебуришвили Андрей Георгиевич (RU),TUROVETS MIKHAIL IVANOVICH,Туровец Михаил Иванович (RU),ZJUBINA ELENA NIKOLAEVNA,Зюбина Елена Николаевна (RU),MANDRIKOV VIKTOR VIKTOR
申请号：
RU2011109640/14
公开号：
RU0002460465C1
申请日:
2011.03.14
申请国别(地区):
RU
年份:
2012
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to field of medicine, in particular to endosurgery. In order to perform early diagnostics of acute pancreatitis after endoscopic transpapillary interventions, general clinical and physical examination, biochemical analysis of patients blood are performed. In the course of post-operative examination "index of pancreatitis" (IP) is determined by formula: Hn=((Ap/An)x(PS1/PS0)×(L1/L0)×(PC+1))/4, where: Ap are values of patients blood amylase An are maximal values of blood amylase in norm PS0 is average value of patients pulse before endoscopic transpapillary interventions PS1 is average value of pulse after endoscopic transpapillary interventions L0 is number of blood leukocytes before endoscopic transpapillary interventions L1 is number of blood leukocytes after endoscopic transpapillary interventions PC is pain coefficient. Degree of pain syndrome expression is evaluated in points: 0 points - pain in abdomen is absent at rest and palpation 1 point - pain in abdomen is present at palpation and is absent at rest 2 points pain in abdomen is present at rest and increases at palpation 3 points - together with pain syndrome, positive peritoneal symptoms are present. If IP≥ 1, acute postoperative pancreatitis is diagnosed.EFFECT: method increases accuracy of early diagnostics of acute pancreatitis after endoscopic transpapillary interventions due to determination of totality of interconnected informative criteria such as value of amylase, value of pulse, number of leukocytes in blood, pain coefficient.2 exИзобретение относится к области медицины, в частности к эндохирургии. Для ранней диагностики острого панкреатита после эндоскопических транспапиллярных вмешательств проводят общеклиническое и физикальное обследование, биохимическое исследование крови больных. В ходе послеоперационного обследования определяют «индекс панкреатита» (ИП) по формуле: ИП=((Ap/An)×(PS1/PS0)×(L1/L0)×(КБ+1))/4, где Ap - значения амилазы крови пациента An
