[Influence of different volumes of infusion therapy on transport and consumption of oxygen in the period of shock in patients with severe burns].
In patients with severe burns during the shock period leading are severe disorders of hemodynamics which are the cause of secondary alterations in the organs and systems. The main method of treatment of such patients is infusion therapy. The approach to determination of the solution volume is ambiguous. A comparative analysis of the influence of infusion medium volumes equal to 10% of the body mass and calculated by the Parkland formula on transport and consumption of oxygen which is the main parameter of the perfusion quality of tissues and organs was made in 58 severe burn patients. The results obtained have confirmed that severe burn patients mainly have the hypodynamic type of blood circulation with altered perfusion of organs and tissues and have shown that the infusion therapy calculated by the Parkland formula results in more valuable stabilization of the function of transport and consumption of oxygen. So, the parameters of blood oxygenation and of oxygen extraction become normalized, metabolic disorders and functional instability of the organs disappear in shorter terms.
Koshil'
Iu E
IuE
Klimov
A G
AG
Tarasenko
M Iu
MIu
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002056:Burns / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy*; D005440:Fluid Therapy; D006439:Hemodynamics; D006801:Humans; D007263:Infusions, Parenteral; D008875:Middle Aged; D010100:Oxygen / Q000378:metabolism*; D010101:Oxygen Consumption; D012774:Shock, Traumatic / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy*; D013997:Time Factors
D010100:Oxygen
Vliianie razlichnykh ob"emov infuzionnoĭ terapii na transport i potreblenie kisloroda v periode shoka u tiazheloobozhzhennykh.