Martwicze zapalenie trzustki: epidemiologia, przyczyny, patogeneza oraz leczenie

• Autorzy: Oliynyk O. , Doroshenko M.

Warianty tytułu

EN

Necrotizing pancreatitis: epidemiology, etiology, pathogenesis and treatment

• Języki publikacji: PL EN

Abstrakty

PL

Pomimo osiągniętych w ostatnich latach przez dzisiejszą medycynę licznych sukcesów, nadal istnieje wiele poważnych problemów medycznych, z którymi medycyna nie jest w stanie sobie poradzić. Jednym z nich jest martwicze zapalenie trzustki, które diagnozuje się w 20% przypadków ostrego zapalenia trzustki, co w prosty sposób przekłada się na chorobę mającą skomplikowany wpływ na różne układy organizmu człowieka. Ogólna liczba powikłań w przypadku trzustki waha się pomiędzy 60% a 96% a wczesna diagnoza zapalenia trzustki jest bardzo skomplikowana. Dzięki zintegrowanemu wykorzystaniu metod klinicznych oraz laboratoryjnych, ultradźwięków, CT, MRT organów strefy trzustkowo- dwunastniczej możliwe jest skuteczniejsze zweryfikowanie odpowiedniego leczenia oraz poprawniejsza diagnoza. Jest wiele koncepcji leczenia martwiczego zapalenia trzustki, między innymi: wsparcie oddechowe, odpowiednie znieczulenie, odprężenie funkcjonalne trzustki wraz z dalszym wsparciem żywieniowym, terapia antybiotykowa, terapia podstawowa.

EN

Although modern medicine has achieved numerous successes during last few decades of development there are still huge medical problems we can’t deal with. One of such problems is necrotizing pancreatitis, which is diagnosed in 20% cases of acute pancreatitis and has the mortality level of nearly 20%, what is easily explained with the complex influence on different body systems in case of this disease. The general number of pancreatic complications is from 60% to 96% and the early diagnosis of pancreatitis is quite complicated. Integrated use of clinical and laboratory methods, ultrasound, CT, MRI of organs of pancreato-duodenal zone helps to create a very effective treatment and diagnostic algorithm. There are various conceptions on treatment of necrotizing pancreatitis, among them: respiratory support, adequate anesthesia, functional relaxation for pancreas with further nutritional support, antibiotic therapy, basic therapy.

• Wydawca: -
• Czasopismo: Człowiek i Zdrowie
• Rocznik: 2012
• Tom: 06
• Numer: 2
• Opis fizyczny: s.35-48,tab.,bibliogr.

Twórcy

autor

Oliynyk O.

• Państwowy Uniwersytet Medyczny imienia I.Ya.Horbaczewskiego w Tarnopolu, Tarnopol, Ukraina

autor

Doroshenko M.

• Państwowy Uniwersytet Medyczny imienia I.Ya.Horbaczewskiego w Tarnopolu, Tarnopol, Ukraina

Bibliografia

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