Современные подходы к терапии ожогового шока

В. І. Березуцький

doi:10.25284/2519-2078.1(82).2018.121957

Автор(и)

В. І. Березуцький ДЗ "Дніпропетровська медична академія МОЗ України", Ukraine

DOI:

https://doi.org/10.25284/2519-2078.1(82).2018.121957

Ключові слова:

опікова травма, опіковий шок, синдром "капілярної витоку"

Анотація

Стаття являє собою огляд публікацій 2015-2017 рр. з проблем інфузійної терапії опікового шоку. Відновлення центральної і периферичної гемодинаміки в гострому періоді опікової травми є надзвичайно складною проблемою в зв'язку з тим, що рідина особливо погано утримується в кровоносному руслі внаслідок синдрому "капілярного витоку". Великий обсяг інфузії небезпечний розвитком інтерстиціального набряку тканин і поліорганної недостатності, тому основна частина досліджень присвячена розробці нових методів оптимальної інфузійної терапії опікового шоку. Наданий період часу найкращі результати в лікуванні опікового шоку досягаються за допомогою стратегії ранньої цільової індивідуалізованої терапії. Ця стратегія передбачає диференційований підбір комбінації колоїдних і кристалоїдних розчинів під постійним контролем гемодинаміки за допомогою інструментальних методів. Подальше підвищення ефективності лікування опікового шоку дослідники пов'язують із застосуванням комп'ютеризованих систем моніторингу інфузійної терапії, а також з удосконаленням застосованих для трансфузії розчинів.

Біографія автора

В. І. Березуцький, ДЗ "Дніпропетровська медична академія МОЗ України"

Березуцкий В.И.

Посилання

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