Kravets, O. V. Clinical efficacy of different infusion regimens in high surgical risk patients with urgent abdominal pathology = Клінічна ефективність різних режимів інфузійної терапії в пацієнтів високого хірургічного ризику з ургентною абдомінальною патологією / O. V. Kravets // Медицина невідкладних станів = Медицина неотложных состояний. - 2019. - N 7. - P71-77. - Бібліогр. наприкінці ст. MeSH-головна: ОСТРЫЙ ЖИВОТ -- ABDOMEN, ACUTE (хирургия) РИСКА ОЦЕНКА -- RISK ASSESSMENT ПОСЛЕОПЕРАЦИОННЫЕ ОСЛОЖНЕНИЯ -- POSTOPERATIVE COMPLICATIONS ПОСЛЕОПЕРАЦИОННОЕ ВЕДЕНИЕ БОЛЬНОГО -- POSTOPERATIVE CARE РЕГИДРАТАЦИОННАЯ ТЕРАПИЯ -- FLUID THERAPY (методы) КИШЕЧНАЯ НЕПРОХОДИМОСТЬ -- INTESTINAL OBSTRUCTION (диагностика, профилактика и контроль, этиология) ВНУТРИБРЮШНАЯ ГИПЕРТЕНЗИЯ -- INTRA-ABDOMINAL HYPERTENSION (диагностика, профилактика и контроль, этиология) Анотація: Long-term inpatient treatment and associated significant mortality are specifically attributed to urgent surgeries, 53 % of which are accounted for acute surgical pathology. The prolonged postoperative ileus is considered as one of the most severe complications. The purpose: to assess the efficacy of restrictive and goal-directed regimens of infusion therapy based on comparative analysis of clinical resolution of postoperative motor bowel disorders in high surgical risk patients with urgent abdominal pathology. Materials and methods. We examined 80 patients with urgent abdominal pathology. All patients underwent emergency laparotomy and were divided into 2 groups. In the first one (n = 40), the persons received goal-directed infusion therapy. The patients of the second group (n = 40) received infusion therapy in restrictive regimen. We measured fluid compartments of the body by the method of noninvasive bioelectrical impedance analysis of the body structure, function of gastrointestinal tract — by clinical implications, intra-abdominal pressure and ultrasound visualization of the intestinal wall condition. Results. Goal-directed infusion therapy formed the interstitial edema on the 1st day (p 0.04), it correlated with an increase in the small intestine wall thickness (R Вільних прим. немає |