RESUMEN
Autohemotransfusion is one of the perspective methods of transfusion used in cardiosurgery. Intraoperative autohemotransfusion was used in surgical correction of congenital heart diseases in patients of various age groups, including children aged 6 to 8. The exfusion volume made up 300-600 ml, depending on the patient's body mass and the hematologic parameters. Clinical follow-up and assessment of the laboratory parameters have proved the possibility of blood exfusion in the patients with the blue congenital heart disease. Autoblood infusion was performed directly after artificial circulation switch-off, this providing a better hemostasis stabilization and correction of the patient's hemogram. Autoblood volume in blood substitution made up 30% on an average, this saving donor blood.
Asunto(s)
Transfusión de Sangre Autóloga , Cardiopatías Congénitas/cirugía , Adolescente , Adulto , Niño , Estudios de Seguimiento , Humanos , Cuidados IntraoperatoriosRESUMEN
The data are presented on the use of fatty emulsions for parenteral nutrition of 68 cardiosurgical patients with renal failure in the postoperative period. It has been established that intravenous administration of fatty emulsions ensures up to 50% of an overall daily calories uptake, with the infusate volume restricted considerably, helps stabilize energy and nitrogen body balance and reduces the risk of complications associated with hyperosmolality and hyperglycemia.
Asunto(s)
Procedimientos Quirúrgicos Cardíacos , Emulsiones Grasas Intravenosas/uso terapéutico , Nutrición Parenteral , Complicaciones Posoperatorias/terapia , Insuficiencia Renal/terapia , Adolescente , Adulto , Humanos , Persona de Mediana EdadRESUMEN
The data on the use of various schemes of artificial nutrition (AN) are reviewed in 137 patients with postoperative complications after cardiopulmonary bypass surgery. It has been established that AN as part of a complex therapy of patients in the early postoperative period has a correcting effect on metabolism and promotes the improvement of the patients' clinical condition. Rational combination of parenteral and enteral tube nutrition ensures adequate AN of cardiosurgical patients in the early postoperative period.
Asunto(s)
Procedimientos Quirúrgicos Cardíacos , Nutrición Enteral/métodos , Nutrición Parenteral/métodos , Cuidados Posoperatorios/métodos , Adolescente , Adulto , Anciano , Terapia Combinada/métodos , Cuidados Críticos/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/fisiopatología , Complicaciones Posoperatorias/terapiaRESUMEN
Results of differentiated administration of blood components to cardiac surgical patients are presented. Frozen washed erythrocytes and erythromass were successively used in the perfusate and postoperatively. A transfusion pattern for patients with rare A2B blood group has been elaborated. The feasibility of prevention of artificial-circulation-induced thrombocytopenia by introduction of large quantities of platelet components right after AC is demonstrated. The necessity of the ACT-test for adequate blood heparinisation and neutralisation during the AC is established. Results of successful autohemotransfusion in cardiac surgery and application of fibrinolytic blood and its components are discussed.
Asunto(s)
Transfusión Sanguínea , Circulación Extracorporea , HumanosAsunto(s)
Eritrocitos , Proteínas de la Membrana , Velocidad del Flujo Sanguíneo , Hemólisis , Humanos , Peso Molecular , Fenómenos Físicos , FísicaAsunto(s)
Circulación Extracorporea , Cardiopatías/inmunología , Adolescente , Adulto , Cardiopatías/cirugía , Humanos , Inmunoglobulina A/análisis , Inmunoglobulina G/análisis , Inmunoglobulina M/análisis , Masculino , Persona de Mediana Edad , Cuidados Posoperatorios , Complicaciones Posoperatorias/inmunologíaRESUMEN
Erthyrocytes can form cytoplasmatic bridged connecting with each other individual cells or a great number of cells into a conglomerate. The cytoplasmatic bridges--is a peculiar form of existance of erythrocytes which differ from the forms described earlier: thorm-like (spheroechinocytes) and myelino-like forms having nothing in common with the mechanism of agglutination. The cytoplasmatic bridges of erythrocytes were found in man, dogs and guinea-pigs irrespective of a disease or conditions of an experiment, i.e. they may be referred to as a common biological system. The cytoplasmatic bridges may desintegrate, i.e. to be subjected to reverse development, which in a overwhelming majority of cases, as well as their formation, does not effect materiality the size and form of red corpuscles. Erythrocytes are united by means of cytoplasmatic bridges only with erthrocytes (predominantly with young ones) and never with any other cells of the blood.