Характеристика и прогнозирование развития гастродуоденальных осложнений у тяжелообоженных

Abstract

Material and methods. The results of a study of 85 patients with extensive thermal trauma treated at theSamarkand City Medical Association in 2018-2020 were studied. The first group consisted of 45 (53%)burned patients who had the development of acute gastroduodenal complications in the first 7 days afterthe injury; the second group consisted of 40 (47%) victims whose burn disease proceeded without thedevelopment of acute gastroduodenal complications.Results. Acute gastroduodenal complications developed in 57.8% of cases with late hospitalization anddelayed initiation of intensive care more than 12 hours after the moment of thermal injury. In the groupwith a total burn area of less than 40%, the development of acute gastroduodenal complications was42.2% less. At the 2nd week of burn disease, acute gastroduodenal complications develop 1.5 times moreoften in patients with a deep burn area of more than 10% of the body surface. In burned patients, in whomthe Franc index was more than 130 units, acute gastroduodenal complications developed 9 times moreoften than among the victims, in whom this indicator was less than 70 units.Conclusions. The application of 7 parameters as the main prognostic criteria of the proposed prognosis scalefor the development of acute gastroduodenal complications in severely burned patients is substantiated.