Titarenko N. Prolonged regional intra-arterial infusion in intensive therapy of severe acute pancreatitis.

Object - a severe acute pancreatitis; methods – clinical, laboratory, microbiological, instrumental, statistical; novelty – For the first time the pathogenetic importance is proved of a method prolonged regional intra-arterial infusion therapy with catheterization of a abdominal stem on the basis of the implementation clinical-laboratory estimation of flow of the first phase severe AP with use of objective ball scales of an estimation of weight of the state and weight of organ disfunctions; a role is certain and efficiency of regional endarterial way of introduction of antibacterial and antiprotease facilities is well-proven in a holiatry AP for warning of development of infectious complications; the comparative analysis of clinical efficiency of different methods of anaesthe-tizing is first conducted with AP, the differential going is grounded near the choice of tactic of treatment of pain syndrome; clinical expedience of intra-arterial infusion of local anesthetic is certain from the group of ethersyak of method of the regional anaesthetizing at treatment AP; results – diagnostics, monitoring of flow, is optimized, intensive therapy for patients with severe acute pancreatitis with the use of method of prolonged regional intra-arterial infusion for the improvement of quality and results of treatment and diminishing of lethality; branch – medicine.