METHOD OF ASSESSING CLINICAL COURSE OF ACUTE BILIARY PANCREATITIS

摘要

FIELD: medicine.;SUBSTANCE: patient is interviewed and undergoes biochemical tests and ultrasonic examination. That is followed by fibrogastroduodenoscopy involving parapapillary block within a duodenal papilla at 10 mm from the mouth and formation of a first submucosal depot of 0.5% Novocaine 10 ml and 4% gentamycin 2 ml in the 9 o'clock position. In the 15 o'clock position, a second submucosal depot of 2% drotaverin 2 ml and 1% dimedrol 2 ml is formed. If observing pain management for 10 minutes, the mild clinical course of acute biliary pancreatitis is diagnosed, whereas no pain management enables diagnosing the severe clinical course of acute biliary pancreatitis.;EFFECT: method provides the adequate assessment of the severity of acute biliary pancreatitis for the 24 hours following the admission to hospital with underlying therapeutic measures.;1 dwg, 2 ex