Doktor axborotnomasi 2024, №2 (114)

Subject of the article

ОБЗОР ПОПУЛЯРНЫХ ПРЕДИКТОРОВ НЕБЛАГОПРИЯТНЫХ ИСХОДОВ У ПАЦИЕНТОВ С ЖЕЛУДОЧНО-КИШЕЧНЫМИ КРОВОТЕЧЕНИЯМИ ИЗ ВЕРХНИХ ОТДЕЛОВ (147-153)

Authors

А. О. Исмати1, В. Д. Аносов2, С. Э. Мамараджабов1

Institution

1Самаркандский государственный медицинский университет, Самарканд, Узбекистан 2Городская клиническая больница №15 им. О.М. Филатова, Москва, Российская Федерация

Abstract

Целью данного исследования является обзорный анализ наиболее распространенных предикторов не благоприятных клинических исходов у пациентов с желудочно-кишечными кровотечениями (ЖКК) из верх них отделов. Исследование основано на обзоре прогностических факторов, включающих показатели лабора торных анализов, инструментальных данных, данных клинико-анамнестического характера. Ключевыми про гностическими факторами, выделенными в ходе исследования, стали предикторы, наиболее часто используе мые в известных прогностических системах: возраст, коморбидность, гемодинамика, уровень сознания, симп томы ЖКК, время с момента проявления симптоматики, рецидивы ЖКК, эндоскопические данные, мочевина и креатинин крови, гемоглобин, альбумин, международное нормализованное отношение (МНО). Давно из вестно, что эти факторы демонстрируют значимую связь с неблагоприятными исходами и могут служить надежными маркерами для прогнозирования течения заболевания. Исследование подчеркивает необходимость не только их активного использования в клинической практике, но и дальнейших исследований с целью рас ширения списка клинических предикторов, что может способствовать разработке новых подходов к ведению пациентов желудочно-кишечных кровотечений.

Key words

желудочно-кишечные кровотечения, предикторы, прогностические факторы, прогнозиро вание.

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