Оценка эффективности лечения распространенного аппендикулярного перитонита у детей

Аннотация

Aim of investigation: the analysis of the use of the most commonly used prognostic scales in emergency surgery in patients in two comparison groups on the background of distributed appendicular peritonitis (DAP). Materials and methods: analysis and comparison of the validity of prognostic scales (SOFA, APACHE II, SAPS, MODS, PRISM) was conducted on data from 166 patients. Results: in the main group of patients, the undertaken prcopcrative preparation tactics allows to stabilize the general condition of the patients already on the first day after the operation. At the same time, mortality in the main group varied in the range of 1,8-2,9% (APACHE II - SOFA), and in the comparison group 12,5%-16,7% (APACHE II, MODS - SOFA). Conclusions: the study of the dynamics of indicators on prognostic scales against the background of DAP allows us to identify the most complex groups of patients who need a more serious resource of intensive therapy. When using any of the scales, a linear relationship is found between the number of points and the level of mortality (for example, for SAPS, each ten-point increase corresponds to an increase in mortality of about 10%).