Abstract

To identify the most prognostically significant markers of the «increased vascular permeability» syndrome among patients with severe abdominal sepsis and septic shock an open prospective cohort study was carried out. That study involved 70 patients with severe abdominal sepsis and septic shock, the cause of which were generalized peritonitis in acute surgical diseases of abdominal cavity (APACHE II value is 17 marks). All patients were tested on the «capillary leak» presence, colloid «infusion load» and the indicators of Central and peripheral hemodynamics before and after colloid infusion were evaluated. As a result, it turned out that quite simple tests on «capillary leak» are prognostically significant for the severity evaluation of vascular wall damage in severe abdominal sepsis. The tests can be used to select the starting infusion therapy for patients with widespread peritonitis complicated by sepsis, septic shock and multiple organ failure.

Highlights

  • Развитие методики видится не только в этап- with chronic total occlusion: insights from the ERCTO ном освоении новых техник, но также и в соеди- (European Registry of Chronic Total Occlusion) registry

  • Статистическая обработка полученных данных проводилась методом ROC- анализа с помощью статистической программы

  • 3. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Bernhard K. et al Early goal directed therapy in the treatment of severe sepsis and septic shock

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Summary

Креативная хирургия и онкология

Развитие методики видится не только в этап- with chronic total occlusion: insights from the ERCTO ном освоении новых техник, но также и в соеди- (European Registry of Chronic Total Occlusion) registry. Recanalization of chronic total coronary occlusion by СПИСОК ЛИТЕРАТУРЫ/REFERENCES. Percutaneous coronary interventions for chronic total occlusions. 7. Galassi AR, Tomasello SD, Reifart N, Werner GS, Sianos G, Bonnier H. et al In-hospital outcomes of percutaneous coronary intervention in patients angioplasty. Different strategies of retrograde approach in coronary angioplasty for chronic total occlusion. Muramatsu T, Tsuchikane E, Oikawa Y, Otsuji S, Fujita T, Ochiai M, et al Incidence and impact on midterm outcome of controlled subintimal tracking in patients with successful recanalisation of chronic total occlusions: J-PROCTOR registry. Subintimal wire pathway: part of the game of crossing chronic total coronary occlusions. Werner GS, Ferrari M, Heinke S, Kuethe F, Surber R, Richartz BM, et al Angiographic assessment of collateral connections in comparison with invasively determined collateral function in chronic coronary occlusions.

ПРИ СЕПСИСЕ И СЕПТИЧЕСКОМ ШОКЕ
МАТЕРИАЛЫ И МЕТОДЫ
РЕЗУЛЬТАТЫ И ИХ ОБСУЖДЕНИЕ
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