{"product_id":"giperbilirubinemiq-kak-prediktor-perforacii-appendixa-u-pacientow-s-perforaciej-appendixa-von-alexander-vicente","title":"Giperbilirubinemiq kak prediktor perforacii appendixa u pacientow s perforaciej appendixa","description":"\u003cp\u003ePri perforatiwnom appendicite (PA) chastota pozdnego wmeshatel'stwa sostawlqet ot 5 do 30%, chto priwodit k uwelicheniü smertnosti na 0,3% pri ostrom appendicite i na 6,5% pri PA. Adekwatnyj hirurgicheskij podhod pozwolit snizit' smertnost', sokratit' prebywanie w stacionare po prichine peritonita, sepsisa abdominal'nogo proishozhdeniq, abscessow i t.d. Po ätoj prichine wazhno sdelat' akcent na luchshem prognoze. V nastoqschee wremq issledowaniq pokazali, chto giperbilirubinemiq, wyzwannaq gepatocellülqrnym powrezhdeniem i wnutripechenochnym holestazom w rezul'tate snizheniq portal'nogo krowotoka, qwlqetsq prognosticheskim faktorom dlq PA. Cel'ü nastoqschego issledowaniq bylo opredelit' urowen' obschego bilirubina w syworotke krowi w swqzi s hirurgicheskimi i gistopatologicheskimi rezul'tatami, oharakterizowat' posleoperacionnye i predoperacionnye sluchai, opredelit', qwlqetsq li giperbilirubinemiq prediktorom perforacii appendixa, a takzhe ocenit' chuwstwitel'nost', specifichnost', polozhitel'nuü prognosticheskuü cennost' (PPV) i otricatel'nuü prognosticheskuü cennost' (NPV). Poätomu my predstawlqem äto retrospektiwnoe issledowanie 107 sluchaew äxtrennoj pomoschi, w kotoryh w ramkah predoperacionnoj ocenki byli polucheny pokazateli obschego bilirubina, i kotorye perenesli perforaciü appendixa.\u003c\/p\u003e\u003cdiv class=\"aw-variant-hidden-subtitle-div\" id=\"aw-variant-subtitle-9786205343722\"\u003e\u003ch3\u003eGiperbilirubinemiq kak prediktor perforacii appendixa u pacientow sluzhby skoroj pomoschi bol'nicy Manuel Ygnacio\u003c\/h3\u003e\u003c\/div\u003e","brand":"Autorenwelt Shop","offers":[{"title":"Softcover - 9786205343722","offer_id":40775791312989,"sku":"9786205343722","price":19.8,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0940\/0622\/files\/3c80362e-70e7-4e86-9f82-60d816aacafe.png?v=1758431667","url":"https:\/\/shop.autorenwelt.de\/products\/giperbilirubinemiq-kak-prediktor-perforacii-appendixa-u-pacientow-s-perforaciej-appendixa-von-alexander-vicente","provider":"Autorenwelt Shop","version":"1.0","type":"link"}