Коррекция гиповолемических нарушений в интенсивной терапии внутричерепных кровоизлияний
Диссертация
При посуточной оценке показателей системной гемодинамики не отметили достоверного различия показателя АДср между группами больных с инфузионной терапией, различной по объему вводимых растворов. У больных обеих групп был выявлен «нормодинамический» тип кровообращения, который характеризовался значениями сердечного индекса (СИ) в области границы нормальных показателей. Однако в первые (5,2±1,25… Читать ещё >
Содержание
- Глава 1. ИНФУЗИОННАЯ ТЕРАПИЯ И МОНИТОРИНГ ПОКАЗАТЕЛЕЙ КРОВООБРАЩЕНИЯ У ПАЦИЕНТОВ В ОСТРОМ ПЕРИОДЕ ВНУТРИЧЕРЕПНОГО КРОВОИЗЛИЯНИЯ (обзор литературы)
- 1. 1. Нарушения волемического статуса у пациентов в остром периоде ВК
- 1. 2. Современные инфузионные растворы и их основные характеристики
- 1. 2. 1. Растворы кристаллоидов
- 1. 2. 2. Растворы коллоидов
- 1. 3. Побочные эффекты применения инфузионных препаратов
- 1. 3. 1. Влияние на свертывающую системы крови
- 1. 3. 2. Гипергидратация легочного интерстиция
- 1. 3. 3. Влияние на функцию почек
- 1. 3. 4. Влияние на иммунную систему
- 1. 3. 5. Возникновение анафилактических реакций
- 1. 3. 6. Отдельные негативные эффекты
- 1. 4. Гемодинамический мониторинг у больных в критическом состоянии: возможности и ограничения. v
- 1. 4. 1. Гемодинамические"эффекты при проведении ИВЛ .!.'.У
- 1. 4. 2. Мониторинг артериального давления.!.'.'
- 1. 4. 3. Центральное венозное значение при проведении ИВЛ
- 1. 4. 4. Давление заклинивания легочной артерии при проведении ИВЛ
- 1. 4. 5. Использование непрямого метода Фика.'.'
- 1. 4. 6. Использование транспищеводного допплер-мониторинга
- 1. 4. 7. Использование электрического биоимпеданса грудной клетки (ЭБГК)
- 1. 4. 8. Использование литиевой дилюции
- 1. 4. 9. Использование транспульмональной термодилюции
- 1. 4. 10. Использование анализа формь! пульсовой волны
- 2. 1. Общая характеристика больных
- 2. 2. Общеклйнические клннико-инструментальные методы обследования больных
- 2. 3. Методы интенсивной терапии
- 2. 4. Гемодинамический мониторинг
- 2. 4. 1. Транспульмональная термодилюция — математические основы метода
- 2. 4. 2. Клиническая методика проведения транспульмональной термодилюции
- 2. 4. 3. Ограничения метода
- 2. 4. 4. Дополнительные возможности транспульмональной термодилюции: технология PiCCO
- 2. 4. 5. Расчет динамических параметров волемического статус^ пациента
- 2. 4. 6. Недостатки, преимущества и ограничения метода АФПВ
- 2. 5. Протокол исследования
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