Leukocyte intoxication index of peritoneal exudate as a diagnostic test of postoperative peritonitis

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Abstract

The problem of diagnostics and treatment of postoperative peritonitis and various intra-abdominal purulent complications is still one of the most urgent problems of emergency surgery. The lethality from peritonitis reaches 20-40% [1, 4]. Difficulties of diagnosing postoperative peritonitis are due to the layering of symptoms of the complication on the manifestations of postoperative condition and intensive care [5, 7]. Therefore, postoperative peritonitis is diagnosed at a late stage, which leads to delayed reoperations, and ultimately, to increased mortality.

About the authors

V. N. Biryaltsev

Lenin Kazan Institute for Advanced Medical Education

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Kazan

N. A. Veliyev

Lenin Kazan Institute for Advanced Medical Education

Email: info@eco-vector.com
Russian Federation, Kazan

Yu. Kh. Kim

Lenin Kazan Institute for Advanced Medical Education

Email: info@eco-vector.com
Russian Federation, Kazan

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2. Fig. 1. Dynamics of LII of a peritoneal exudate in peritonitis with a favorable course. 1) LII of peritoneal exudate of a patient with diffuse peritonitis; 2) with diffuse peritonitis; 3) with local peritonitis.

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3. Fig. 2. Dynamics of peritoneal exudate LII in peritonitis with an unfavorable course. Peritoneal exudate LII of patients operated on for local peritonitis, which further progressed (А), diffuse peritonitis complicated later by intra-abdominal abscess (B), diffuse peritonitis complicated later by intra-abdominal infiltrate (C).

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© 1988 Eco-Vector





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