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논문 기본 정보

자료유형
학술저널
저자정보
Ravshan Aliyevich Ibadov (Republican Specialized Scientific-Practical Medical Center of Surgery) Anvar Shamkhatovich Arifjanov (Republican Specialized Scientific-Practical Medical Center of Surgery) Sardor Khamdamovich Ibragimov (Republican Specialized Scientific-Practical Medical Center of Surgery) Bakhrom Rustamjanovich Abdullajanov (Andijan State Medical Institute)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제23권 제4호
발행연도
2019.11
수록면
359 - 364 (6page)

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Backgrounds/Aims: Improvement of efficiency of treatment of patients with severe acute pancreatitis (SAP), complicated by acute respiratory distress-syndrome (ARDS). Methods: The retrospective research of 67 SAP patients treated at the ICU of the NSSPCS has been conducted from 2008 to 2017. The basic criterion of patient inclusion was stable respiration impairment leading to hypoxia with PaO₂/FiO₂<300 mmHg that required mechanical ventilatory support. Results: Pancreatitis-associated ARDS was diagnosed in 36 cases (53.7%). The most frequent clinical form (15 cases) was ARDS of moderate severity (41.5%). The total mortality due to pancreatitis-associated ARDS made 44.5%. Close relationship between ARDS severity and mortality was evident. All lethal outcomes occurred due to progressing multiple organ dysfunction. No deaths were caused by uncontrollable hypoxemia. Conclusions: The research has confirmed the leading role of pancreatitis-associated ARDS in development and high mortality rate of multiple organ dysfunction syndrome in SAP. Early recognition of the complication and application of ventilatory support techniques resulted in fast restoration of oxygenation and improvement of treatment efficiency.

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INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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