REGULARITIES OF ENTERAL FAILURE FORMATION WITH TRAUMATIC DISEASE IN PATIENTS WITH DOMINANT ABDOMINAL INJURY

2019 
The objective of the study is to evaluate the diagnosis of the development of enteral failure with abdominal trauma against the ground of traumatic disease. Materials and methods. The results of treatment of 119 victims with traumatic abdominal cavity injuries who were operated on abdominal injury were analyzed. The following main predictors of the development of enteral failure were identified: the residual volume of the stomach, the absence of peristaltic sound, vomiting/regurgitation, diarrhea, bloating, intraperitoneal hypertension and abdominal compression syndrome in victims with abdominal trauma against the ground of traumatic disease. Results. General condition in the control group of deceased patients, according to the obtained indicators, was found to be significantly more severe than in the main group of those survived, which is evidenced by the corresponding scales and individual parameters. Moreover, a significant difference between intra-abdominal pressure and abdominal perfusion may be indicative of the development of enteral failure. Conclusion. A significant difference between intra-abdominal pressure and abdominal perfusion indices may be indicative of the development of enteral failure.
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