METHOD FOR CHOOSING DETOXICATION APPROACH TO ACUTE SURGICAL ABDOMINAL PATHOLOGY

摘要

FIELD: medicine.;SUBSTANCE: blood is examined for total protein, albumin, ALT, ACT, urea, bilirubin, creatinine, urine passage, proteinuria, natremia; there are determined gastrointestinal motor evacuation activity, absorption activity, leucocytosis, leukocytic intoxication index; there are evaluated haematological intoxication index, prothrombin index, activated partial thromboplastin time, blood thrombocyte and fibrinogen; each value is scored. An intoxication severity is evaluated; the derived points are summed. If total score is 5 to 17, enteric sorption and combined infusion detoxication are applied; 18 to 36 points - enteric sorption and enteric probe lavage, combined infusion detoxication; 37 points and more - enteric sorption and lavage, combined infusion detoxication and combined extracorporeal detoxication.;EFFECT: use of the method provides more accurate choosing of detoxication approach to acute surgical abdominal pathology.;3 ex