[The use of the "internal autotransfusion" method in complex shock-control measures at the prehospital stage].
Fifty-three patients with traumatic shock were injected 200-400 ml of a 10% solution of sodium chloride in combination with 100 ml of the 40% solution of glucose. The continuous, for 1-2 h, elevation of arterial pressure, increased minute blood circulation volume, cardiac index, stroke volume were noted. At the same time base deficiency in blood was growing. So, in the last 5 patients the infusion therapy at the prehospital stage was completed by injecting 200 ml of 3% sodium solution and the acid-base state in them was thus leveled. When using the "internal autotransfusion" lethality was reliably less than in patients who were treated by routine (polyglucon, gelatinole) infusion therapy.
Salamatin
B N
BN
Mikhaĭlov
Iu M
IuM
Shirokov
D M
DM
Khrushchev
N V
NV
D000328:Adult; D001804:Blood Transfusion, Autologous / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D005392:First Aid / Q000379:methods*; D005440:Fluid Therapy / Q000379:methods; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D012774:Shock, Traumatic / Q000150:complications / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*
Primenenie metoda "vnutrenneĭ autotransfuzii" v komplekse protivoshokovykh mer na dogospital'nom étape.