• Исмати А.О., Аносов В.Д., Мамараджабов С.Э., Назарова М.З.
  1 - Самаркандский государственный медицинский университет, Республика Узбекистан, г. Самар-канд; 2 - Городская клиническая больница №15 им. О.М. Филатова, Российская Федерация, г. Москва

Аннотация

За последние полвека были существенно усовершенствованы подходы к лечению и диагностике пациентов с желудочно-кишечными кровотечениями из верхних отделов. Однако ряд факторов продолжают проявлять негативное влияния, сглаживая успехи десятилетий. В контексте череды высокотехнологических нововведений и безуспешных попыток получить перманентные положительные тенденции в статистических показателях свою значимость обретает стратификация пациентов по группам риска и прогнозирование неблагоприятного исхода с целью определения пациентов, наиболее нуждающихся в интенсификации лечебного процесса. Каждая из популярных интегральных шкал была разработана с собственной специфической прогностической целью. Тем не менее, это не препятствовало исследователям проводить валидацию шкал на прогнозе летальности с последующим сравнительным анализом. На данный момент, лидирующей по точности преэндоскопической шкалой прогноза летальности признана ABC, а хуже всего проявляет себя Glasgow-Blatchford Bleeding Score. Среди постэндоскопических шкал доминирует итальянская Progetto Nazionale Emorragia Digestive score. Тем не менее, каждая из широкоизвестных интегральных шкал имеет свои преимущества и недостатки, понимание которых позволяет избирательно подходить к применению в различных случаях.

Калит сузлар

желудочно-кишечное кровотечение, прогноз, шкала, летальность.

Адабиёт

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