FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to surgery, and can be used in assessing the degree of trauma of simultaneous surgery in patients with a combined surgical pathology of the abdominal cavity, pelvis and anterior abdominal wall. For this purpose, on the second and fifth day after the operation, a complex of indicators is determined: dopamine, mcg/day; adrenaline, mcg/day; noradrenaline, mcg/day; GABA, pmol/ml; endorphin, nmol/ml. And in the case of revealing the levels of these indicators on the second day: dopamine from 209.0 to 229.0, adrenaline from 22.0 to 32.0, noradrenaline from 46.0 to 55.0, GABA 871.0 to 891.0, endorphin from 44.0 to 48.0, and on the fifth day: dopamine from 178.0 to 198.0, adrenaline from 16.0 to 24.0, noradrenaline from 42.0 to 48.0, GABA 829.0 to 862.0, endorphin from 33.0 to 41.0 – determine the presence of a low degree of trauma. In case of revealing the levels of indicators on the second day: dopamine from 230.0 to 250.0, adrenaline from 33.0 to 43.0, noradrenaline from 56.0 to 66.0, GABA 870.0 to 850.0, endorphin from 43.0 to 39.0, on the fifth day: dopamine from 199.0 to 219.0, adrenaline from 25.0 to 35.0, norepinephrine from 49.0 to 55.0, GABA 863.0 to 896.0, endorphin from 42.0 to 49.0 – determine the presence of the average degree of trauma. In case of revealing the levels of indicators on the second day: dopamine from 251.0 and above, adrenaline from 44.0 and above, noradrenaline from 67.0 and above, GABA 849.0 and below, endorphin from 38.0 and below, and on the fifth day: dopamine from 220.0 and above, adrenaline from 36.0 and above, noradrenaline from 56.0 and above, GABA 897.0 and above, endorphin from 32.0 and below – determine the presence of a high degree of trauma.
EFFECT: method provides an increase in the accuracy of the assessment of the patient's condition in the early postoperative period due to the determination of the aforementioned combination of parameters in specific periods of time.
1 cl, 1 tbl, 2 ex
