METHOD OF EARLY DIAGNOSTICS OF ACUTE PANCREATITIS AFTER ENDOSCOPIC TRANSPAPILLARY INTERVENTIONS

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=((A_p/A_n)x(PS₁/PS₀)×(L₁/L₀)×(PC+1))/4, where: A_p are values of patient's blood amylase; A_n are maximal values of blood amylase in norm; PS₀ is average value of patient's 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 ex