| 摘要 |
FIELD: medicine. ^ SUBSTANCE: invention relates to prevention and treatment of acute pancreatitis after the endoscopic papillosphincterotomy and retrograde pancreatocholangiography. For this purpose, in fybroduodenoscopy, the submucous depot of anesthetic with antibiotic, with ratio 5:1, is created by injecting the drugs via the instrumental endoscope canal with use of the endoscopic injector, 5-10 mm off fistula or papillotomy aperture at 9 o'clock. At 3 o'clock by dial plate, the submucous depot of spasmolytic and antihistamine drug, at 1:1 correlation, is created. In 12-24 hours, the procedure is repeated until the clinical effect is achieved. The lymphotropic anesthetics are used: 0.5% 10 mL Novocain, 0.5% 10 mL Lidocain. The spasmolytics are used: 2% 2 mL No-Spa, 0.2% 2 mL Platyphyllin hydrotartrate. The antibiotic is used: 4% 2 mL Gentamycin. 1% 2 mL Dimedrol is used as the antihistamine drug. ^ EFFECT: method provides simultaneous rapid relief of pain syndrome, cramps of sphincter of major duodenal papilla; prevents tissues edema with little volume of medicines. ^ 3 ex, 2 dwg, 5 cl |
