1. [Acute abdominal syndrome in blood system diseases]
- Author
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S R, Karagiulian, S A, Shutov, A V, Grzhimolovskiĭ, V S, Shavlokhov, E A, Lukina, E E, Zvonkov, E M, Shulutko, A Iu, Bulanov, S A, Vasil'ev, G A, Sukhanova, N A, Shutova, I B, Kaplanskaia, and I I, Shaforostova
- Subjects
Abdomen, Acute ,Adult ,Male ,Laparotomy ,Syndrome ,Hematologic Diseases ,Diagnosis, Differential ,Young Adult ,Diagnostic Techniques, Digestive System ,Fatal Outcome ,Humans ,Female ,Follow-Up Studies ,Retrospective Studies - Abstract
To define an optimal diagnostic and therapeutic algorithm when the acute abdominal syndrome occurs in hematological patients.The results of 145 emergency surgeries made in 2006-2008 for acute abdominal syndrome were studied in patients with blood system diseases.Clinical manifestations of acute abdominal syndrome emerge in 1-1.4% of all the patients treated at the Hematology Research Center, Russian Academy of Medical Sciences. There is a need for surgery in 0.5-0.7% of all the patients admitted. In this group of patients, annual postoperative mortality is 12-16%.The routine algorithm for a diagnostic search in hematological patients with acute abdominal syndrome can lead to both hyperdiagnosis and unwarranted surgery, and incorrect choice of expectant policy as well.
- Published
- 2011