ВЫБОР ЛЕЧЕБНОЙ ТАКТИКИ У БОЛЬНЫХ ОСТРЫМ ХОЛЕЦИСТИТОМ С СУБ- И ДЕКОМПЕНСИРОВАННОЙ СЕРДЕЧНО-СОСУДИСТОЙ ПАТОЛОГИЕЙ

Николай Юрьевич Коханенко; Андрей Львович Луговой; Сергей Александрович Данилов; Артем Леонидович Иванов; Лексо Зурабович Гурцкая

doi:10.21638/11701/spbu11.2016.204

Authors

Николай Юрьевич Коханенко Mariinskaya City Hospital, 56, Liteyny pr., St. Petersburg, 191014, Russian Federation
Андрей Львович Луговой Pokrovskaya City Hospital, 85, Bolshoi pr. V. O., St. Petersburg, 199106, Russian Federation
Сергей Александрович Данилов Pokrovskaya City Hospital, 85, Bolshoi pr. V. O., St. Petersburg, 199106, Russian Federation
Артем Леонидович Иванов Nykolaevskaya Hospital, 1, ul. Konstantinovskaya, Peterhof, St. Petersburg, 198504, Russian Federation
Лексо Зурабович Гурцкая Pokrovskaya City Hospital, 85, Bolshoi pr. V. O., St. Petersburg, 199106, Russian Federation

DOI:

https://doi.org/10.21638/11701/spbu11.2016.204

Abstract

The work presents treatment and diagnosis for acute cholecystitis in patients with sub- and decompensated cardiovascular diseases. Th e problem of mutual deterioration between acute cholecystitis and diff erent manifestations of coronary artery disease has been reviewed. Th e main diseases of the cardiovascular system that aff ect the prognosis of acute cholecystitis have been enumerated. The role of specifi c biochemical markers of necrosis has been shown and the use of such instrumental techniques as ultrasonography, magnetic resonance cholangiopancreatography, echocardiography, electrocardiogram,
diagnostic laparoscopy has discussed. Th e classifi cation of perioperative cardiovascular complications by risk — low, medium and high (L. Fleisher and K. Eagle, 1996) is used. Suffi cient detail is given to the criteria for selecting methods of surgical treatment for acute cholecystitis as well as contraindications and possible complications in the postoperative period. Refs 13. Tables 2.

Keywords:

acute cholecystitis, acute myocardial infarction, magnetic resonance cholangiopancreatography, echocardiography, electrocardiogram, decompensation of the cardiovascular systems

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References

Литература

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