2 research outputs found
ΠΡΠΎΠ²Π΅ΡΠ±Π΅ΡΠ΅Π³Π°ΡΡΠΈΠ΅ ΡΠ΅Ρ Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ Π² ΠΊΠ°ΡΠ΄ΠΈΠΎΡ ΠΈΡΡΡΠ³ΠΈΠΈ
According to the program of blooding surgery 297 patients were operated with coronary heart disease, acquired and congenital cardiac diseases and others. The introduction of principles of bloodless surgery is favoured by not only risk from donor transfusion, but also by the results of the reserchers dealing with the body's adaptation to acute anemia. The present study was undertaken to make a scientific-and-practical assessment of actual own blood funds and their introduction in order to decrease or refuse to use donor blood at cardiac surgery under extracorporeal circulation. Own blood saving methods, such as acute normovolemic hemodilution, washed autoerythrocytic reinfusion, autoplasma reinfusion, become affective in reducing hemorrhage after extracorporeal circulation. This method is safe, simple in organization, and permitted to avoid allogeneic blood transfusion and its complications.Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ Π»Π΅ΡΠ΅Π½ΠΈΡ 292 Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ ΡΠ΅ΡΠ΄ΡΠ°, Π²ΠΊΠ»ΡΡΠ°Ρ ΠΈΡΠ΅ΠΌΠΈΡΠ΅ΡΠΊΡΡ Π±ΠΎΠ»Π΅Π·Π½Ρ ΡΠ΅ΡΠ΄ΡΠ°, ΠΏΡΠΈΠΎΠ±ΡΠ΅ΡΠ΅Π½Π½ΡΠ΅ ΠΏΠΎΡΠΎΠΊΠΈ ΠΈ Π΄ΡΡΠ³ΠΈΠ΅. Π Π°Π·ΡΠ°Π±ΠΎΡΠ°Π½Π° ΠΊΠΎΠ½ΡΠ΅ΠΏΡΠΈΡ Β«Π±Π΅ΡΠΊΡΠΎΠ²Π½ΠΎΠΉΒ» ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΡ ΠΏΡΠΈ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΠΈ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ Π½Π° ΡΠ΅ΡΠ΄ΡΠ΅. ΠΡΠΈ ΡΡΠΎΠΌ ΠΎΡΠΌΠ΅ΡΠ°Π΅ΡΡΡ Π΄ΠΎΡΡΠΎΠ²Π΅ΡΠ½ΠΎΠ΅ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΠ΅ ΠΏΠ΅ΡΠΈΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΉ ΠΊΡΠΎΠ²ΠΎΠΏΠΎΡΠ΅ΡΠΈ. ΠΡΠΊΠ°Π· ΠΎΡ Π°Π»Π»ΠΎΠ³Π΅ΠΌΠΎΡΡΠ°Π½ΡΡΡΠ·ΠΈΠΉ ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΠΎΠ²Π°Π» ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΡ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΡΡ
ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΡΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ
ΠΠΎΡΡΠΎΡΠ½Π½Π°Ρ ΡΠ»Π΅ΠΊΡΡΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΡΡΠΈΠΌΡΠ»ΡΡΠΈΡ ΠΏΡΠΈ Ρ ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΡΡ
Paper is devoted to the safety rules during surgical interventions on patients with permanent pacemaker. Data of 123 operated patients with intraoperative pacemaker instability were analyzed; possible causes of these complications were discussed. The use of monopolar electrocoagulation proved to be the most frequent cause of pacemaker failure. Strong correlation between rhythm failure and duration of the single electrocautery exposure was revealed.Π‘ΡΠ°ΡΡΡ ΠΏΠΎΡΠ²ΡΡΠ΅Π½Π° Π²ΠΎΠΏΡΠΎΡΠ°ΠΌ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΡΡΠΈ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ² Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ ΡΠ°Π½Π΅Π΅ ΠΈΠΌΠΏΠ»Π°Π½ΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌΠΈ ΡΠ»Π΅ΠΊΡΡΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΡΡΠΈΠΌΡΠ»ΡΡΠΎΡΠ°ΠΌΠΈ (ΠΠΠ‘). ΠΡΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΡ
ΠΏΡΠΈΡΠΈΠ½, ΠΏΡΠΈΠ²ΠΎΠ΄ΡΡΠΈΡ
ΠΊ Π½Π°ΡΡΡΠ΅Π½ΠΈΡΠΌ Π² ΡΠ°Π±ΠΎΡΠ΅ ΠΠΠ‘ Π²ΠΎ Π²ΡΠ΅ΠΌΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ Ρ 123 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², ΠΊΠΎΡΠΎΡΡΠΌ Π² ΡΠ°Π·Π»ΠΈΡΠ½ΡΠ΅ ΡΡΠΎΠΊΠΈ ΠΏΠΎΡΠ»Π΅ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΈΠΈ ΠΠΠ‘ Π±ΡΠ»ΠΈ Π²ΡΠΏΠΎΠ»Π½Π΅Π½Ρ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π° Π² ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΡΡ
ΠΊΠ°ΡΠ΄ΠΈΠΎΡ
ΠΈΡΡΡΠ³ΠΈΠΈ, Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ, ΡΡΠΎΠ»ΠΎΠ³ΠΈΠΈ, ΠΎΡΡΠ°Π»ΡΠΌΠΎΠ»ΠΎΠ³ΠΈΠΈ, ΡΡΠ°Π²ΠΌΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ, ΠΎΠ½ΠΊΠΎΠ»ΠΎΠ³ΠΈΠΈ, ΡΠ΅Π»ΡΡΡΠ½ΠΎ-Π»ΠΈΡΠ΅Π²ΠΎΠΉ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ, ΡΠΎΡΡΠ΄ΠΈΡΡΠΎΠΉ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ Π¦ΠΠ β 2 ΠΈΠΌ. Π.Π. Π‘Π΅ΠΌΠ°ΡΠΊΠΎ, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΏΡΠ΅Π΄Π»ΠΎΠΆΠ΅Π½Ρ ΠΌΠ΅ΡΡ ΠΏΠΎ ΠΈΡ
ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ΅. ΠΠΎΠΊΠ°Π·Π°Π½ΠΎ, ΡΡΠΎ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠ»Π΅ΠΊΡΡΠΎΠΊΠΎΠ°Π³ΡΠ»ΡΡΠΈΠΈ Π² ΠΌΠΎΠ½ΠΎΠΏΠΎΠ»ΡΡΠ½ΠΎΠΌ ΡΠ΅ΠΆΠΈΠΌΠ΅ ΡΠ²Π»ΡΠ΅ΡΡΡ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠΎΠΉ ΠΏΡΠΈΡΠΈΠ½ΠΎΠΉ ΠΈΠ½ΡΡΠ°ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΡΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ, ΡΠ²ΡΠ·Π°Π½Π½ΡΡ
Ρ ΡΠ°Π±ΠΎΡΠΎΠΉ ΠΠΠ‘. ΠΡΡΠ²Π»Π΅Π½Π° ΡΠ΅ΡΠΊΠ°Ρ Π²Π·Π°ΠΈΠΌΠΎΡΠ²ΡΠ·Ρ ΠΌΠ΅ΠΆΠ΄Ρ Π½Π°ΡΡΡΠ΅Π½ΠΈΡΠΌΠΈ Π² ΡΠ°Π±ΠΎΡΠ΅ ΠΠΠ‘ ΠΈ Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡΡ ΠΎΠ΄Π½ΠΎΠΊΡΠ°ΡΠ½ΠΎΠ³ΠΎ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΡ ΡΠ»Π΅ΠΊΡΡΠΎΠΊΠΎΠ°Π³ΡΠ»ΡΡΠΎΡΠ° ΠΏΡΠΈ ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΡΡ