УРОВЕНЬ ВНУТРИБРЮШНОГО ДАВЛЕНИЯ И ПОКАЗАТЕЛИ РЕСПИРАТОРНОГО СТАТУСА У ПАЦИЕНТОВ С ОСТРЫМ НЕКРОТИЗИРУЮЩИМ ПАНКРЕАТИТОМ

Abstract

The aim of the presented study was to study the level of intra-abdominal pres-sure (IAP) and its effect on respiratory status indicators in patients with acute necrotizing pancreatitis (АNP). The severity of the course, the dynamics of IAP and a number of indicators of respiratory status in 53 patients in the early phase of acute pancreatitis were analyzed. Depending on the IAP, 3 clinical groups were identified at admission: group 1 – 18 patients with IAP at 12–15 mmHg, group 2 – 22 patients with IAP at 16–20 mmHg, group 3 – 13 patients with IAP at 21 or more mmHg. The close relationship of a high level of IAP has been proven (16–20 mm Hg and above) with the severity of the course of acute pancreatitis. It was found that a decrease in the level of IAP to 12 mmHg in patients with ANP is ac-companied by stabilization of respiratory status indicators (an increase in the respiratory index, pO2 in arterial blood and lung compliance). Thus, IAP is one of the criteria for the severity of the condition of patients with ANP.