Asunto(s)
Coagulación Sanguínea , Calicreínas/sangre , Cininas/sangre , Choque Traumático/sangre , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
On the grounds of a great clinical material (4,800 cases) and autopsy findings (857 autopsies) it is emphasized that there is a pathogenetic relationship between thrombotic complications and hemorrhages common in acute pancreatitis and the main disease; the thrombohemorrhagic complications playing a tremendous part in the development of its most severe forms and fatal outcome. The authors divide these complications inherent in all the phases of pancreatitis into 2 groups: early and late ones, which differ from one another by peculiarities of pathogenesis, clinical picture and treatment. The diversity of the complications is stressed, and recommendations on their diagnosis, prevention and treatment are set forth.
Asunto(s)
Hemorragia/etiología , Pancreatitis/complicaciones , Tromboembolia/etiología , Abdomen/irrigación sanguínea , Enfermedad Aguda , Trastornos Cerebrovasculares/etiología , Hemorragia Gastrointestinal/etiología , Humanos , Isquemia/etiología , Riñón/irrigación sanguínea , Infarto del Miocardio/etiología , Páncreas/irrigación sanguínea , Pancreatitis/sangre , Embolia Pulmonar/etiología , Espacio Retroperitoneal/irrigación sanguíneaRESUMEN
In 40 patients with acute pancreatitis, examined 3-2 and 18-24 hours following the onset of the disease, benzoylarginine-amidase activity in blood serum and plasma was determined, as well as the activity of lipase and amylase in blood serum. A correlative dependence was found between the activity of amylase and lipase in blood serum, the activity of amylase in blood serum and trypsin-like activity in blood plasma of patients investigated in different time.