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№3' 2019

SURGERY

International Medical Journal, Vol. 25., Iss. 3, 2019, P. 29−32.

DOI (https://doi.org/10.37436/2308-5274-2019-3-5)

FEATURES OF FLUID REDISTRIBUTION DURING GOAL-DIRECTED INFUSION THERAPY OF HIGH SURGICAL RISK PATIENTS IN URGENT SURGERY

SI "Dnipropertovsk Medical Academy of the Ministry of Health of Ukraine", Dnipro, Ukraine

One of the basic components of intensive treatment of patients with an urgent abdominal pathology is perioperative infusion therapy. To analyze the perioperative dynamics of the water sectors of a body in the patients with a high surgical risk with acute abdominal pathology, a targeted regimen of infusion therapy was used to examine 35 patients. Perioperative targeted infusion therapy was carried out with balanced crystalloid solutions. With the non−invasive bioelectric rheography, the indices of water sectors of a body were studied. On the first day, the extracellular sector volume overflow was established due to an increase in interstitial volume. From the second day, the excess volumes of intravascular fluid and plasma were determined. On the third day there was a deficit of all the studied indices. On the fifth day of the post−surgery period, volumetric depletion of mild degree was noted. From the seventh to the tenth days, all the studied parameters to normal were reliably restored. A targeted regimen of infusion therapy in such patients was concluded to correct a moderate volume depletion on the tenth day after surgery by an excessive increase in plasma volume after six hours of treatment, the development of interstitial edema in the first two days, and the formation of mild volumetric depletion from third to seventh day.

Key words: water sectors, goal−direct infusion therapy, depletion, urgent surgery, high surgical risk.

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