FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to urgent surgery, and can be used in treatment of closed pancreas injuries ensured by examination performed in admission to hospital. If there are two signed detected, including increase of glucose in blood 10 mmol/l and higher in combination with hyperamylasemia 300 standard units and more; pancreas expansion with lower parenchyma echogenicity diagnosed by ultrasound; pancreas haemorrhage; observed effusion in omental bursa at amylase activity 2 times exceeding that of blood, certain mixture is perfused into retroperitoneal parapancreatic fat. The mixture contains 0.25% Novocaine solution 250 ml, Trasylol 150 units, 0.1% Dimedrol solution 1.0 ml, heparin 5000 units, 2.0% Papaverine solution 2.0 ml and Cephepime 1.0 g. Perfusion is to lower amylase content is blood to 200 standard units. Besides omental bursa is sanitised with 5% ε-aminocapronic acid solution.
EFFECT: method improves clinical effectiveness for the patients suffering from closed pancreas injuries and prevents heavy complications including traumatic omentobursitis, peritonitis, parapancreatitis and retroperitoneal phlegmons without direct organ surgery.
2 ex
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Authors
Dates
2009-06-20—Published
2007-08-24—Filed