Special aspects of intensive care of patients with complicated diverticulosis of the colon
- 作者: Shah B.1, Abdulaev M.2, Avdeev A.2, Strukov E.3, Shchegolev A.3, Volchkov V.1
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隶属关系:
- Saint Petersburg State University
- Alexandrovskaya Hospital
- Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
- 期: 卷 23, 编号 3 (2021)
- 页面: 149-156
- 栏目: Clinical trials
- URL: https://journals.rcsi.science/1682-7392/article/view/79633
- DOI: https://doi.org/10.17816/brmma79633
- ID: 79633
如何引用文章
详细
This study presented examination and treatment results of 129 patients with bleeding from the lower gastrointestinal tract who were treated at the Alexandrovskaya Hospital of St. Petersburg in the period from 2012 to 2017. Examination and treatment were performed in the intensive care unit following current clinical guidelines, taking into account the identified concomitant diseases. Endoscopic examination of the colon is the main diagnostic method for the pathological processes that caused bleeding from the lower gastrointestinal tract. Conservative therapy has been demonstrated effectiveness, and urgent surgical treatment was not needed. The main drug therapy included antifibrinolytic drugs and fresh-frozen plasma preparations. Continuous parenteral administration of proteolysis inhibitors was mandatory. Intensive therapy included correction of hemodynamic disturbances and respiratory failure and restoration of the volume of the circulating blood and plasma. Such an approach was found to be 90% effective. In patients with diverticular disease, bleeding from the colonic diverticula develops in one-third of cases. However, if additional risk factors are present, their frequency reaches 50%, often causing death. Continuous or recurrent bleeding is an indication of surgery. In our study, the conservative method of stopping bleeding from the colonic diverticula was possible in all cases. In general, the disease correlated with the age of the patients. In 68 (53%) patients, bleeding occurred despite anticoagulant or antiplatelet therapy. Patients with bleeding from colonic diverticula do not require urgent surgical intervention, and these patients may require admission to the intensive care unit. Intensive care should include the provision of antifibrinolytic drugs, proteolysis inhibitors, and fresh-frozen plasma.
作者简介
Boris Shah
Saint Petersburg State University
Email: shahboris@rambler.ru
ORCID iD: 0000-0002-8389-7516
SPIN 代码: 8352-5270
doctor of medical sciences, senior researcher
俄罗斯联邦, Saint PetersburgMagomed Abdulaev
Alexandrovskaya Hospital
Email: e.strukov@mail.ru
doctor of medical sciences, professor
俄罗斯联邦, Saint PetersburgAleksey Avdeev
Alexandrovskaya Hospital
Email: e.strukov@mail.ru
SPIN 代码: 5238-0830
сandidate of medical sciences
俄罗斯联邦, Saint PetersburgEgor Strukov
Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
编辑信件的主要联系方式.
Email: e.strukov@mail.ru
ORCID iD: 0000-0001-5041-1201
SPIN 代码: 3949-3704
doctor of medical sciences
俄罗斯联邦, Saint PetersburgAleksey Shchegolev
Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation
Email: alekseischegolev@gmail.com
ORCID iD: 0000-0001-6431-439X
SPIN 代码: 4107-6860
Scopus 作者 ID: 7003338841
Researcher ID: J-4326-2013
doctor of medical sciences, professor
俄罗斯联邦, Saint PetersburgVladimir Volchkov
Saint Petersburg State University
Email: volchkovva@mail.ru
ORCID iD: 0000-0002-5664-7386
SPIN 代码: 4133-5028
Scopus 作者 ID: 7006247844
Researcher ID: G-7279-2015
doctor of medical sciences, professor
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