Abstract

Aim of the study: Optimization of medical care to patients with liver cirrhosis (LC) based on using of patient- oriented approach in real clinic practiceMaterials and methods: The reviews of 734 medical histories of patients treated in polyclinics and in-patient facilities of general specialization (surgery, therapy) and died from HL in 2015–2019 years in Krasnodar region were analyzed. The experience of regular medical check-up of 85 patients with LC who underwent mini-invasive surgeries was summarized.Results: The number of mistakes in treatment tactics of patients with LC was revealed. The experience of regular medical check-up and schools for patients with LC was summarized.Conclusion: Regular medical check-up of patients with LC in multi- disciplinary clinic with practice in mini-invasive surgeries and liver transplantation, attendance of schools for patients improves stabilization and in some cases treatment course of disease.

Highlights

  • Критерии оказания медицинской помощи Диагноз был поставлен более чем за год до смерти Диагноз был выставлен в течение года, предшествующего смерти Состояли на диспансерном учете у терапевта Состояли на диспансерном учете у нарколога Состояли на диспансерном учете у инфекциониста Проводился скрининг гепатоцеллюлярной карциномы Была проведена оценка нутритивного статуса Даны адекватные рекомендации по питанию Даны адекватные рекомендации по физическим нагрузкам клиническая гастроэнтерология | clinical gastroenterology n

  • Избегать применения нестероидных противовоспа- У пациента с асцитом при возникновении лихорадки лительных препаратов и анальгетиков и болей в животе – экстренная госпитализация

  • Clinical Gastroenterology and Hepatology. 2015, no., pp.1095–1123

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Summary

Materials and methods

The reviews of 734 medical histories of patients treated in polyclinics and in-patient facilities of general specialization (surgery, therapy) and died from HL in 2015–2019 years in Krasnodar region were analyzed. The experience of regular medical check-up of 85 patients with LC who underwent mini-invasive surgeries was summarized

Conclusion
Материал и методы исследования
Показатели на момент начала посещения школы
Профилактика и лечение печеночной энцефалопатии
Результаты исследования
Приверженность терапии диуретиками
Кровотечение из варикозно расширенных вен пищевода
Развившиеся кровотечения из ВРВП в течение года
Обсуждение полученных результатов
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