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Klin Khir ; (3): 5-9, 2014 Mar.
Artículo en Ucraniano | MEDLINE | ID: mdl-25097988

RESUMEN

Some indices of endogenous intoxication and lymphocytic monooxygenase activity in the blood of patients, suffering abdominal sepsis (AS), were investigated, their prognostic significance was determined. In 28 patients the signs of AS were revealed, in 14 of a severe sepsis, in 11--of a septic shock. For peritoneal AS there were operated 37 patients, and for a pancreatogenic one--15. Relaparotomy "on demand" was performed in 12, and "the programmed" one--in 15 patients. A 30-days lethality in AS was 10.7%, in severe shock--28.6%, and in a septic one--63.6%. While AS occurrence a rising of metabolic activity of the monooxygenase system were registered in certain terms, and significant inhibition of this index--while severe state of the patients in a refractory shock occurrence. A safety correlational connections of indices in the blood and the lymphocytic monooxygenase system activity were determined in patients, who died.


Asunto(s)
Oxigenasas de Función Mixta/sangre , Especies Reactivas de Oxígeno/sangre , Choque Séptico/sangre , Cavidad Abdominal/patología , Cavidad Abdominal/cirugía , Biomarcadores/sangre , Proteína C-Reactiva/metabolismo , Femenino , Humanos , Interleucina-6/sangre , Laparotomía , Masculino , Malondialdehído/sangre , Persona de Mediana Edad , Pronóstico , Índice de Severidad de la Enfermedad , Choque Séptico/mortalidad , Choque Séptico/patología , Choque Séptico/cirugía , Análisis de Supervivencia , Factores de Tiempo
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