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СОДЕРЖАНИЕ

СПИСОК СОКРАЩЕНИЙ…………………………………………………………………………..3 ВВЕДЕНИЕ…………………………………………………………………………………………...5 I. ПАТОГЕНЕЗ ЗАБОЛЕВАНИЙ РАЗВИВАЮЩИХСЯ НА ФОНЕ ПОЛИОРГАННОЙ НЕДОСТАТОЧНОСТИ

1.1.Нарушение мезентериального кровообращения тонкого кишечника и синдром “шокового органа”………………………………………………………………………………………………...6

1.2.Послеоперационный панкреатит и его влияние на функциональное состояние органов же- лудочно-кишечного тракта в условиях полиорганной недостаточности………………………….8

1.3.Нарушение процессов дифференцировки и и снижение фагоцитирующей активности клеток моноцитарно-макрофагальной системы на фоне панкреатогенного гипогликемического шока…………………………………………………………………………………………………..10

1.4.Буферные системы крови и тканей в условиях отёка и метаболического ацидоза………….12

1.5.Метаболизм аминокислот и полисахаридов в реакциях тканевого дыхания и активного мембранного транспорта……………………………………………………………………………13

1.6.Иммунодефицитные заболевания, связанные с избыточным потреблением (ретикулоэндотелиоз) и нарушением депонирования гликогена (гликогеноз)…………………………………..15

1.7.Синдром полиорганной недостаточности и онкогематологические заболевания у де-

тей…………………………………………………………………………………………………….18

II. ПЕРИТОНЕАЛЬНЫЕ СПАЙКИ И МЕТОДЫ ПРОГНОЗИРОВАНИЯ СПАЕЧНЫХ ПОСЛЕОПЕРАЦИОННЫХ ОСЛОЖНЕНИЙ

2.1.Гиповолемический NO-опосредованный капилляротоксикоз, эндотелиальная тромбопластиновая диссеминация и панкреатогенный лимфоретикулоэндотелиоз брюшины в патогенезе спайкообразования…………………………………………………………………………………..22

2.2.Методы прогнозирования риска развития спаечной кишечной непроходимости.………….29 III. СПАЕЧНАЯ КИШЕЧНАЯ НЕПРОХОДИМОСТЬ У ДЕТЕЙ

3.1.Классификация и патогенез спаечной кишечной непроходимости………………………….32

3.2.Непроходимость, вызванная врождёнными аномалиями развития кишечника, его брыжейки и кровеносных сосудов……………………………………………………………………………...35

3.3.Клиника и диагностика спаечной кишечной непроходимости………………………………37

3.4.Дифференциальная диагностика непроходимости кишечника………………………………38

IV. ПРОФИЛАКТИКА И ЛЕЧЕНИЕ СПАЕЧНОЙ КИШЕЧНОЙ НЕПРОХОДИМОСТИ

4.1.Профилактика спайкообразования и консервативное лечение кишечной непроходимо-

сти…………………………………………………………………………………………………….45

4.2.Подготовка к оперативному вмешательству и ведение больных в послеоперационном пе-

риоде…………………………………………………………………………………………………50

4.3.Лапароскопические вмешательства в хирургии детского возраста………………………….52

4.4.Хирургическое лечение спаечной кишечной непроходимости и лапароскопический адге-

зиолизис (висцеролиз)………………………………………………………………………………54

ЗАКЛЮЧЕНИЕ……………………………………………………………………………………...58 ПРАКТИЧЕСКИЕ РЕКОМЕНДАЦИИ…………………………………………………………….60

БИБЛИОГРАФИЧЕСКИЙ СПИСОК……………………………………………………………....63 СОДЕРЖАНИЕ……………………………………………………………………………………...76

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