THE WAYS OF OPTIMIZATION DIAGNOSIS AND TREATMENT TACTICS UNDER THE INJURING OF THE DUODENUM
It is shown that the effectiveness of surgical treatment is connected with exait diagnosis of injuring the duodenal for which the author suggested new classification of the duodenal injuring that comprising all the types of traumas and complications and defining optimal variant of surgery tactics, also developed ways of pre and intra operational diagnosis of complex discovering duodenal injuring. For the first time, it is attemted to separate the most informative clinical signs of injuring of duodenal, on the method of main component computer programming and diagnostic criterians duodenal injuring under the X-ray inspection, ultrasounds, laparoscop and computer tomographic investigations were worked out. The method is founded and worked out in appling octreotid for prophilactic of unvaled seams and pancreatit after operational period of patients with duodenal injurings. The worked out complex of promoted diagnosis, unity surgery tactics and prophilacxis of after operational complications provided decrease 2,7 times lethality and lower number of complications.