In work it is presented that application of infusional therapy for patients with heavy traumatic shock at a prehospital stage is not only pathogenetic expedient, but also authentically reasonable component of antishock treatment. It is revealed that the most effective option of volemichesky compensation at patients with heavy traumatic shock at pre-hospital and hospital stages of treatment is application sterofundin isotonic and 4% the modified gelatin.
In work terms of emergence and frequency of development of a hypothermia in patients with traumatic shock of varying severity at a prehospital stage are presented. It is revealed that all patients with traumatic shock have III severity, unlike patients with shock of I and II severity, decrease in body temperature is noted.
In work it is presented that application of infusional therapy for patients with heavy traumatic shock at a prehospital stage is not only pathogenetic expedient, but also authentically reasonable component of antishock treatment. It is revealed that the most effective option of volemichesky compensation at patients with heavy traumatic shock at pre-hospital and hospital stages of treatment is application sterofundin isotonic and 4% the modified gelatin.
The paper presents that the correlation analysis revealed reliable links between the following predictors associated with death in patients with severe traumatic shock: lactate/ACTV, lactate/pH venous blood, body temperature/pH venous blood, вody temperature/lactate, ACTV/Ca ionized. No significant links were found between body temperature and ACTV.
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