Treatment of pregnant women with acute bleeding syndromein the lumen of the digestive duct

Trofimov, M.V. and Lyashchenko, P.V and Guzenko, B.V. and Panikova, T.N. and Didenko, V.I. and Grabchuk, V.N. (2020) Treatment of pregnant women with acute bleeding syndromein the lumen of the digestive duct. Azerbaijan medical joyrnal (№ 4). pp. 60-65. ISSN 0005-2523

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Abstract

The article presents the results of a study conducted to improve the results of treatment of pregnant women with acute bleeding syndrome in the lumen of the digestive canal by improving the method of endoscopic hemostasis. The study was performed on the clinical base of the Department of General Surgery "Dnepropetrovsk Medical Academy" in the intensive care unit for the treatment of patients with acute blood loss "Dnipropetrovsk Clinical Association of Emergency Medical Services", Dnipro. The observation group consisted of 10 pregnant women who had used the method of treatment of acute bleeding syndrome developed by us in the lumen of the digestive canal. Retrospective observation data for the 2014-2018 period were generated by a comparison group of 16 pregnant women. We have developed a method of treating ulcerative bleeding from the upper sections of the digestive tract in pregnant women in order to provide specialized care to pregnant women with acute bleeding syndrome in the lumen of the digestive canal. As a result of treatment of pregnant women with the syndrome of acute bleeding in the lumen of the digestive canal with the use of this method is achieved: 1. a smoother pregnancy; 2. the opportunity to conduct research and provide assistance in the conditions of each maternity or gynecological ward; 3. a significant reduction in manipulation time to 8.3±1.5 minutes. In pregnant groups, there were no cases of operative stoppage of gastrointestinal bleeding with the use of the specified method in the treatment of acute bleeding syndrome in the lumen of the digestive canal. In the comparison group in 3 (18.7 %) cases there was an operative stop of gastrointestinal bleeding with the subsequent development of severe preeclampsia and preeclampsia. There were no lethal cases in the groups. Thus, when assisting pregnant women, whose pregnancy is complicated by the development of acute bleeding syndrome in the lumen of the digestive canal, diagnostic and therapeutic measures are performed in conjunction with an obstetrician-gynecologist under the guidance of a surgeon. Conducting local endoscopic hemostasis and endoscopic prevention of recurrent bleeding in pregnant women together with tocolytic therapy has allowed to reduce the number of complications from 18.7% to 0%. Due to the complexity of using the specified set of measures for the treatment of pregnant women with acute bleeding syndrome in the lumen of the digestive canal is possible in any health care facility.

Item Type:	Article
Additional Information:	DOI: 10.34921/amj.2020.4.008
Uncontrolled Keywords:	stomach ulcer, duodenal ulcer, gastroduodenal bleeding.
Subjects:	General surgery
Divisions:	Departments > Department of General surgery
Depositing User:	Анастасия Жигар
Date Deposited:	11 Jan 2021 13:44
Last Modified:	11 Jan 2021 13:44
URI:	http://repo.dma.dp.ua/id/eprint/6148

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