Оптимизация показаний к выполнению лапароскопической холецистэктомии у пациентов с сопутствующей сердечно-сосудистой патологией
Диссертация
Научная новизна. Изучено влияние исходного функционального состояния системы кровообращения у пациентов с сопутствующей сердечно-сосудистой патологией на характер изменений гемодинамики во время лапароскопической холецистэктомии с карбоксиперитонеумом. Проанализировано течение анестезии и послеоперационного периода в зависимости от исходного режима кровообращения, определены критерии, позволяющие… Читать ещё >
Содержание
- СПИСОК СОКРАЩЕНИЙ
- ГЛАВА 1. АКТУАЛЬНЫЕ ВОПРОСЫ АНЕСТЕЗИОЛОГИЧЕСКОГО ОБЕСПЕЧЕНИЯ ЛАПАРОСКОПИЧЕСКОЙ ХОЛЕЦИСТЭКТОМИИ У ПАЦИЕНТОВ С СОПУТСТВУЮЩЕЙ СЕРДЕЧНО-СОСУДИСТОЙ ПАТОЛОГИЕЙ (обзор литературы)
- 1. 1. Эволюция представлений о патофизиологических механизмах влияния специфических интраоперационных факторов на кровообращение во время лапароскопических операций
- 1. 2. Предоперационная оценка риска развития осложнений со стороны системы кровообращения при лапароскопическом оперативном вмешательстве
- 1. 3. Выбор метода анестезии и требования к мониторингу при лапароскопических операциях
- 1. 4. Направления уменьшения риска развития сердечнососудистых осложнений во время лапароскопических оперативных вмешательств
- ГЛАВА 2. МАТЕРИАЛЫ И МЕТОДЫ ИССЛЕДОВАНИЯ
- 2. 1. Характеристика первого этапа работы
- 2. 2. Методы статистического анализа полученных данных
- 2. 3. Характеристика второго этапа работы
- ГЛАВА 3. РЕЗУЛЬТАТЫ ИССЛЕДОВАНИЙ
- 3. 1. Результаты предоперационной оценки функционального состояния сердечно-сосудистой системы
- 3. 2. Интегральная оценка операционного риска
- 3. 3. Оценка гемодинамики в интра- и послеоперационном периодах
- 3. 4. Результаты ретроспективного статистического анализа данных на первом этапе
- 3. 5. Результаты сравнительного анализа гемодинамических сдвигов и течения периоперационного периода при использовании различных методик выполнения ЛХЭ у пациентов высокого риска
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