RESUMEN
Research of a functional condition of kidneys at patients of advanced and senile age before and in 24, 48, 120 hours after carrying out X-ray endovascular intervention. Patients of age groups are examined: 34-59 years (49,7±7,8) - 35 people (group of control), 60-74 years (66,1±4,1) - 48 people and 75-82 years (78,8±4,2) - 22 people. Сonclusion: it is confirmed the fact that at patients of advanced and senile age dynamic control of a functional condition of kidneys after 1st, 3rd and 5th days and till 3 weeks after carrying out X-ray endovascular interventions is necessary.
Asunto(s)
Procedimientos Endovasculares , Riñón , Complicaciones Posoperatorias , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Medios de Contraste/farmacología , Procedimientos Endovasculares/efectos adversos , Procedimientos Endovasculares/métodos , Femenino , Tasa de Filtración Glomerular/efectos de los fármacos , Humanos , Riñón/efectos de los fármacos , Riñón/fisiopatología , Pruebas de Función Renal/métodos , Masculino , Persona de Mediana Edad , Monitoreo Fisiológico/métodos , Periodo Perioperatorio , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/prevención & control , Ajuste de Riesgo , Factores de RiesgoRESUMEN
Research of the glomerular filtration rate at the patients of advanced and senile age who underwent X ray endovascular intervention is conducted. Patients of age groups are examined: 34-59 years (49,7±7,8 years) - 35 people (group of control), 60-74 years (65,5±4,1) - 38 people and 75-82 years (77,5±2,5) - 12 people. Methods of screening calculation of the glomerular filtration rate are compared. The conclusion that regardless of techniques of definition of GFR and its initial level, the orientation of change of this parameter is characterized by its decrease at all patients after performance of coronary angiography, but more at patients of senile age group is drawn. It is expedient to use Cockcroft-Gault's formula for screening determination of speed of the glomerular filtration rate at people of advanced and senile age, in particular in patients with ischemic heart disease when carrying out X-ray endovascular interventions.
Asunto(s)
Procedimientos Endovasculares , Rayos X , Adulto , Anciano , Anciano de 80 o más Años , Creatinina , Tasa de Filtración Glomerular , Humanos , Persona de Mediana EdadRESUMEN
It is shown that the main trend of changes in water homeostasis in complicated myocardial infarction consists in the development of intercellular hypohydration. Three variants of cardiogenic shock are distinguished: (a) normovolemic shock with intercellular hypohydration; (b) hypovolemic shock with intercellular hypohydration; (c) hypovolemic shock without intercellular hypohydration. Acute congestive cardiac insufficiency in most patients occurs without an increase in the volume of interstitial fluid. Approximately 12% of these patients have a reduced volume of circulating plasma. A syndrome of intercellular hyperhydration develops in the presence of satisfactory hemodynamics on the 3rd day after electrical defibrilation in individuals restored to life after clinical death. The VCP/VIF coefficient may serve as an index of the transcapillary flow of fluid and may be used in determining the indications for infusion therapy.