ABSTRACT 844

Background and aims: Improvement of the results of treatment of erosive ulcerous injuries and gastrointestinal bleeding in patients with severe burns. Aims: Prophylactic and gastrointestinal bleeding in patients with severe burns. Methods: 106 patients were treated at the Inter-regional Burn Center and burn department of RCSUMA Samarkand, Uzbekistan. We used antacid preparations: blocker M 1 cholinoreceptors (gastroceptin) in 17 (16,01%) patients, blocker H2 receptors of histodil, zantak, quamatel) in 87 (82,1%) and blocker of proton pump (omez) in 2 (1,8%) patients. All patients underwent anacid therapy until termination of clinical signs of CCBO syndrome. The shame of protective therapy included also antacid or combined protective preparations (almagel, Maalox, venter). Results: The method of choice in development of massive bleeding in patients with burns is endoscopic arrest of bleeding on the background of complex haemostatic, substitutive and angioprotective therapy. Conclusions: Bleeding is impossible or ineffective it is necessary to perform laparotomy including gastro or duodenotomy and suturing of bleeding vessels in ulcer.

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