Assuntos
Anti-Inflamatórios/uso terapêutico , Necrose/terapia , Dor/prevenção & controle , Pseudocisto Pancreático/terapia , Pancreatite/terapia , Doença Aguda , Amilases/metabolismo , Biomarcadores/metabolismo , Progressão da Doença , Humanos , Lipase/metabolismo , Tomografia Computadorizada Multidetectores , Necrose/diagnóstico por imagem , Necrose/patologia , Necrose/cirurgia , Dor/diagnóstico por imagem , Dor/patologia , Dor/cirurgia , Pseudocisto Pancreático/diagnóstico por imagem , Pseudocisto Pancreático/patologia , Pseudocisto Pancreático/cirurgia , Pancreatite/diagnóstico por imagem , Pancreatite/patologia , Pancreatite/cirurgia , Índice de Gravidade de Doença , Sucção/métodos , Terminologia como AssuntoRESUMO
Results of examination and surgical tratment of 56 patients, suffering chronic calculous cholecystitis with concomitant schemic heart disease, were analyzed. In all the patients a laparoscopic cholecystectomy was performed. Monitoring of cardiovascular compli- cations was estimated with the help of a Helter recording of EGG intraoperatively and in the early postoperative period. Depending on a kind of preoperative preparation done, the patients were divided on two groups: those, to whom cardioprotection using a Vasopro preparation was conducted, and those without cardioprotection. Depending on the intraoperative pneumoperitoneum regime used in every group two subgroups were delineated: in intraabdominal pressure 5-7.9 mm Hg and 8-10 mm Hg. In the patients, to whom cardioprotection was conducted and operative intervention in a carboxyperitoneum regime performed while intraabdominal pressure 5-7.9 mm Hg, a frequency of cardiovascular complications was lesser than in a control group.
Assuntos
Colecistectomia Laparoscópica/efeitos adversos , Colecistite/cirurgia , Isquemia Miocárdica/cirurgia , Complicações Pós-Operatórias/prevenção & controle , Idoso , Arritmias Cardíacas/etiologia , Arritmias Cardíacas/patologia , Cardiotônicos/uso terapêutico , Colecistite/complicações , Colecistite/tratamento farmacológico , Colecistite/patologia , Doença Crônica , Eletrocardiografia Ambulatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Isquemia Miocárdica/complicações , Isquemia Miocárdica/tratamento farmacológico , Isquemia Miocárdica/patologia , Pneumoperitônio Artificial/métodos , Período Pós-Operatório , Estudos ProspectivosRESUMO
Ðbturation jaundice (ÐJ) on background of biliary calculous disease (BCD) was diagnosed in 61 patients. There was studied the impact of Llysine escinate and glutargin on the treatment results, which were included in complex of standard preoperative preparation, and what had transformed into conservative treatment and disappearing of ÐJ without operative intervention. In accordance to the biochemical investigations results, which characterize a functional state of the liver, OJ had disappeared more rapidly while application of the treatment proposed. Positive results of treatment had witnessed actuality of the trend choosed and necessity of its further studying.
