METHOD OF CHOOSING THERAPEUTIC APPROACH TO PATIENTS WITH ACUTE DESTRUCTIVE PANCREATITIS

摘要

FIELD: medicine.;SUBSTANCE: blood serum is examined for the concentration of procalcitonin (PCT) using immunoenzymometric assay. In addition, a severity of patient's condition is assessed by SAPS scale. If the PCT level is no more than 2 mcg/l, while the SAPS assessment is less than 5 points, what is chosen is an conservative therapeutic approach using the full-scale integrated intensive treatment; if the SAPS assessment exceeds 5 points, an integrated intensive treatment is combined with a diagnostic and treatment laparoscopy. If the PCT level exceeds 2 mcg/l, while the SAPS value is assessed to be less than 5 points, a limited-incision surgery is preferred to manage a local infection process, while an extensive process requires an open laparotomy; if the SAPS assessment exceeds 5 point, a surgical intervention is recommended, specifically a puncture drainage operation followed by the limited-incision surgery for the local process, while the extensive process is managed by the puncture drainage operation followed by the open laparotomy.;EFFECT: method enables choosing the surgical approach more accurately in the patients with the sterile and infected forms of pancreatonecrosis.;8 ex