[Correction of hydrodynamic disorders in severe alcohol poisoning in adolescent].
| Autor: | Simakov AA, Ostreĭkov IF, Sukhodolova GN, Dolginov DM |
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| Jazyk: | ruština |
| Zdroj: | Anesteziologiia i reanimatologiia [Anesteziol Reanimatol] 2014 Sep-Oct; Vol. 59 (5), pp. 64-6. |
| Abstrakt: | Objective: To improve the results of treatment of children with severe alcohol poisoning as a result of investigation of water sectors of the body. Methods: The study included 54 patients aged from 13 to 15 years with a diagnosis of acute severe alcohol poisoning. All patients were divided into three groups. At the initial examination was determined the concentration of alcohol in saliva using Express-test "Alkoskan." Bioimpedance analysis was performed; water sectors of the body were investigated by analyzer of the balance of water sectors ABC-01 "Medass." The study was conducted at the time of admission, after 12, 24 and 48 hours. Results: In severe alcohol poisoning at the time of admission, it was revealed a reduction of the fluid in all studied sectors. The most effective compensation of liquid was observed in groups, where was used combination therapy included intravenous fluids based 4.0 ml/kg/hour. Conclusion: The treatment of severe alcohol poisoning should include fluid resuscitation about 4 ml/kg/hour. This capacity of medical care give the ability to correct adequately the water-sectoral disturbances already in the first 12 hours of hospitalization, and the inclusion to the basic therapy reamberine can contribute more effective replenishment of water sectors. |
| Databáze: | MEDLINE |
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