PATHOGENESIS, DIAGNOSTIC AND SURGICAL TREATMENT OF ACUTE CHOLECYSTITIS IN PATIENTS WITH DECOMPENSATED PATHOLOGY OF CARDIOVASCULAR SYSTEMS
Abstract
The work presents the features of pathogenesis, diagnosis and treatment of acute cholecystitis) in 110 patients with decompensated cardiovascular pathology. The main diseases of the cardiovascular system that significantly affect the prognosis in acute cholecystitis are identified. Sufficiently detailed about the criteria for patients at risk. Severe somatic diseases are listed, which are frequent in patients of older age groups undergoing treatment in surgical hospitals. The pathogenetic relationship between inflammatory disease of the gallbladder and the cardiovascular system is explained. The problem of mutual burdening of acute cholecystitis and various manifestations of ischemic heart disease is considered. It was noted that new methods of non-invasive and invasive (endovideosurgery) diagnostics were widely introduced into practice. The possibilities of diagnostic research methods are described in sufficient detail. The role of specific biochemical markers of necrosis is shown: creatine phosphokinase, its cardiac fraction, troponin test. Possible changes in the electrocardiogram in patients with acute cholecystitis and the causes of their occurrence are described. Detailed recommendations for the detection of acute myocardial infarction in patients with acute cholecystitis using markers of myocardial damage are given. The results of indications to the choice of surgical treatment methods, the results of postoperative complications of acute cholecystitis in patients with sub- and decompensated cardiovascular pathology are described.
