[Effective therapy of acute cardiovascular and respiratory failure developed after removal of cervical spinal cord tumor in a child].
Development of hemodynamic and respiratory disturbances in cervical spinal cord injury is a known phenomenon. Its degree depends on severity of injury. Hemodynamic impairments include bradycardia and other arrhythmias, arterial hypotension due to decreased vascular tone and cardiac output and they may result in shock and asystolia. Pathogenesis of respiratory insufficiency is explained by decrease of vital and residual pulmonary volume, dysregulation of respiratory function, development of athelectases, changes in permeability of pulmonary capillaries, pneumonia. This leads to respiratory failure due to acute damage to lungs.
Popugaev
K A
KA
Savin
I A
IA
Oshorov
A V
AV
Sokolova
E Iu
EIu
Kushel'
Iu V
IuV
Lemeneva
N V
NV
D000293:Adolescent; D002574:Cervical Vertebrae; D006439:Hemodynamics / Q000187:drug effects / Q000502:physiology; D006801:Humans; D007022:Hypotension / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D013120:Spinal Cord Neoplasms / Q000601:surgery*; D016896:Treatment Outcome