An analysis of application results of complex research methods of diagnostics of intraorganic hepatic and splenic hematomas was made. At the same time, options of these methods were used for determination of prescription of injury. The ultrasound, CT, MR-imaging, videolaparoscopy, angiography, Doppler ultrasonics, impedometry, biochemical, laboratory and cytological study of punctate sample from hematomas were applied for this purpose in 33 patients. According to authors, an evolution of hematomas happened in 3 stages, each of this stage was characterized by specified data associated with investigation results. The staging procedure of hematomas or their evolution allowed setting the prescription of injury.

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Прободная язва желудка и двенадцатиперстной кишки (прободные гастродуоденальные язвы-ПГДЯ) остается сложной проблемой абдоминальной хирургии. Несмотря на успехи в лечении язвенной болезни, связанные с открытием Helicobacter рylori-основного этиологического фактора заболе-вания, отмечается парадоксальное увеличение числа осложнений в виде прободения язвы [1-3]. В 2006 г. в США по поводу осложнений язвенной болезни было госпитализировано более 150 тыс. пациентов, общая доля осложнений в виде прободений (n=14 500-9%) была в 7 раз меньше числа кро

The article presents an analysis of modern methods of the measurement, including classical and original methods and devices developed by the authors. The results of examination and treatment were analyzed in 397 patients with acute obturation intestinal obstruction and acute destructive pancreatitis, who had the abdominal compartment syndrome from I to IV degree. The authors showed that on-time decompressive laparotomy allowed the decrease of lethality from 25% to 15-17,8%.

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