[Optimal correction of blood loss based on the adaptation reaction of the body in gastroduodenal hemorrhage].

The mathematical analysis of the cardiac rhythm was used for the evaluation of the body adaptation reserves in gastroduodenal hemorrhages that are considered as a stress factor. It has been established that the cardiac rhythm analysis enables one to evaluate the functioning level of the body regulation system, and to estimate the blood loss severity. The assessment of the adaptation reactions in 132 patients with gastroduodenal hemorrhages has shown that the mathematical analysis of the cardiac rhythm is an objective indicator, and its changes are closely related to all parameters of the hemostasis. The proposed objective indicator (adequacy of infusion-transfusion therapy) developed on the basis of studying individual reactions of the vegetative nervous system to hemorrhage, enables optimization of the transfusion therapy and its conduction on the principle of reasonable adequacy, and achievement of replacement efficiency in shorter terms and with lower volumes of transfusion media.