Anesteziologiia i reanimatologiia · 2010
[Anaesthesia in abdominal delivery in pregnant patients with hypertension].
Клиническое исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Tolmachev G N, Volodin A V, Marichik N V, Nemirovskiĭ V B, Pivovarova G M, Shepetovskaia N L, Gur'ianov V A
Аннотация
A differentiated administration of calcium antagonists in preoperative preparation of pregnant patients with hypertension enabled the conversion of circulatory system state to "normal pregnancy range": a conversion of hypokinetic (including the HES solution infusion) and hyperkinetic types of haemodynamics to eukinetic one, with the decrease of total peripheral resistance and myocardium need for oxygen, autonomous nervous system state to physiological sympathicotonia. Evidence shows that continued intra-operative treatment including tranexamic acid enables to maintain those results during the surgery. In postoperational period, the clinical manifestations of SIRS in patients who has received the mentioned therapy were marked less then in control group, and the newborns have a higher Apgar score.
Предметные рубрики MeSH
Anesthesia, ObstetricalApgar ScoreAutonomic Nervous SystemCalcium Channel BlockersCesarean SectionElectrocardiographyEndothelium, VascularFemaleGestational AgeHemodynamicsHumansHydroxyethyl Starch DerivativesHypertensionInfant, NewbornPlasma SubstitutesPostoperative PeriodPregnancyPregnancy Complications, CardiovascularPreoperative Care