O’TKIR XOLESISTIT BILAN OPERATSIYA VA ANESTEZIOLOGIK XAVFI YUQORI BO`LGAN BEMORLARNI DAVOLASHDA MINIMAL INVAZIV ARALASHUVLARNI KLINIK ASOSLASH
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O'tkir xoletsistit, qo'shma kasalliklar, diagnostika, sonografik tekshirish, jarrohlik va anestetik xavf, jarrohlik taktikasi##article.abstract##
O‘tkir xoletsistit bilan og‘rigan 341 nafar bemorni tekshirish va davolash natijalari tahlil qilindi. Keksa va keksa bemorlarda o'tkir xoletsistit uchun Charlson multimorbidlik indeksi (3,20 - 3,31) sharoitida yuqori jarrohlik va anestetik xavf P3, P4 76,2% (ASA shkalasi bo'yicha) va 69,8% (APACHE II shkalasi bo'yicha) ga etadi. ), bu davolash bosqichlarida minimal invaziv aralashuvlarning ustuvorligini belgilaydi. ASA, APACHE II va Charlson komorbidlik indeksiga muvofiq jarrohlik va anestetik xavfni hisobga olgan holda minimal invaziv ponksiyon-drenaj, laparoskopik va endoskopik usullardan foydalanish zaruriy davolash muolajalarini o'z vaqtida yakunlash, operatsiyadan keyingi asoratlar sonini kamaytirish imkonini beradi. 19,7% dan 6,4% gacha, operatsiyadan keyingi o'lim 6,7% dan 1,9% gacha, shuningdek, statsionar davolanish muddatini o'rtacha 5,5 yotoq kuniga qisqartiradi.
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Статья поступила в редакцию 07.05.2024; одобрена после рецензирования 21.06.2024; принята к публикации 29.06.2024.
The article was submitted 07.05.2024; approved after reviewing 21.06.2024; accepted for publication 29.06.2024.
