Останнi рекомендацiї щодо застосування розчинiв гiдроксиетилкрохмалю. Огляд сучасної лiтератури

Ф. С. Глумчер, А. Н. Семянкив, Е. В. Стрепетова

Анотація


Iнфузiйна терапiя є важливим компонентом лiкування практично всiх видiв шоку i взагалi iнтенсивної терапiї. У статтi обговорюються основнi проблеми вибору розчинiв для iнфузiйної терапiї. Акцент робиться на застосуваннi розчинiв гiдроксиетилкрохмалiв (ГЕК). Автори наводять короткi iсторичнi данi щодо розчинiв для iнфузiйної терапiї. Розглядають вплив молекулярної ваги розчинiв ГЕК на несприятливi ефекти iнфузiйної терапiї, проводять порiвняння ГЕК з кристалоїдними розчинами, наводять рiзнi данi про безпеку та ефективнiсть ГЕК в порiвняннi з альбумiном та iншими напiвсинтетичними колоїдами. Також наводяться останнi рекомендацiї щодо застосування цих розчинiв у складi iнфузiйної терапiї.

Ключові слова


iнфузiйна терапiя; розчини гiдроксиетилкрохмалiв; показання; протипоказання; безпека

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DOI: https://doi.org/10.25284/2519-2078.1(66).2014.85614

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