METHOD FOR EVALUATING PERITONITIS SEVERITY DEGREE IN SCORES IN PERFORATED GASTRODUODENAL PEPTIC ULCERCASES Russian patent published in 2007 - IPC A61B10/00 

FIELD: medicine.

SUBSTANCE: method involves evaluating the following clinical course signs with scores. Time passed since disease onset, nature and amount of exudate into he abdominal cavity, available abdominal sepsis are evaluated as the clinical course signs by scoring. Each sign receives score value. Each hour of time passed since disease onset receives +1 score; peritonitis generalization degree is assessed with +1 score per each 100 ml of exudate; peritonitis evaluation with exudate nature is made with +0 in gastric content and serous exudate cases, +5 scores in serofibrinous exudate cases, +10 scores in pyofibrinous exudate cases; peritonitis evaluation with clinical manifestation severity is carried out by giving +0 scores in cases with no abdominal sepsis phenomena, +10 scores are given in cases with abdominal sepsis phenomena being available. Score sum being equal to or less than 11, mini-laparotomic access operation is considered to be advisable.

EFFECT: high objectivity level in evaluating inflammatory peritoneum changes severity degree, in determining contraindications to surgical treatment with mini-laparotomic access.

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