Tula, Tula, Russian Federation
Tula, Tula, Russian Federation
Tula, Tula, Russian Federation
Pervostepennoe znachenie v shokovom patogeneze prinadlezhit makrocirkulyacii, predstavlennnoy v vide anatomicheskoy funkcii serdca, arteriy i ven, kotoraya v svoyu ochered' po mere funkcional'no-kompensatornogo istoscheniya i vyrazhennoy giperkateholaminemii zadeystvuet mikrocirkulyaciyu, predstavlennuyu anatomicheski v vide arteriol, venul i kapillyarov. I tut posledney tochkoy prilozheniya dlya kompensatornyh mehanizmov regulirovki patologicheskogo processa, vynuzhdennoy i ne vsegda rezul'tativnoy meroy, kotoraya privedet k vremennym, no ne prodolzhitel'nym klinicheskim uluchsheniyam dlya organizma v celom, yavlyayutsya sosudy-shunty, sposobnye propuskat' krov' minuya kapillyary, tem samym vyklyuchaya chastichno ili polnost'yu kapillyary iz obschego krovotoka i rusla mikrocirkulyacii. Eto stanovitsya vozmozhnym pri vozdeystvii kateholominov na pre- i postkapillyarnye sfinktery, vyzyvaya ih zaklinivanie.
shok, makrocirkulyaciya, mikrocirkulyaciya, travmaticheskiy shok, kompensatornye vozmozhnosti
1. Ahmerova R.I. Neotlozhnye sostoyaniya:uchebno-metodicheskoe posobie dlya vuzov. Moskva.2011. - 215 s.
2. Bagnenko S.F., Lapshin V.N., Shah B.N. Depressiya gemodinamiki u postradavshih s sochetannoy travmoy v ostrom periode travmaticheskoy bolezni - osnova posleduyuschih gipoksicheskih izmeneniy i reperfuzionnyh povrezhdeniy // Efferentnaya terapiya. 2004. T. 1, № 5. S. 23-34.
3. Agnenko S.F., Stozharov V.V., Miroshnichenko A.G.i dr. Dorozhno-transportnyy travmatizm: Algoritmy i standarty okazaniya skoroy medicinskoy pomoschi postradavshim v DTP (dogospital'nyy etap). - SPb.: IPK KOSTA», 2007. - 380 s.
4. Guseynov A.Z., Kireev S.S. Osnovy infuzionnoy terapii. Parenteral'noe i enteral'noe pitanie. Sankt-Peterburg-Tula: Izd-vo TulGU.2014. - 158 s.
5. Stukanov M.M. i dr. Dinamika parametrov gemostaza, elektrolitnogo i kislotno- schelochnogo balansov u bol'nyh s gemorragicheskim shokom pri ispol'zovanii razlichnyh variantov infuzionnoy terapii // Vestnik Ural'skoy medicinskoy nauki. 2016. №3(31). S106-109.
6. Stukanov M.M. i dr. Klinicheskie perspektivy ispol'zovaniya sbalansirovannyh kristalloidnyh rastvorov v programme infuzionnoy terapii na dogospital'nom etape // Skoraya medicinskaya pomosch'.2010. № 4. S. 45-58.
7. Kireev S.S., Larchenko V.I. Cerebral'naya gemodinamika i vozmozhnosti ee optimizacii pri kriticheskih sostoyaniyah u novorozhdennyh v usloviyah otdeleniya reanimacii// Neonatologiya, hirurgiya ta perinatal'na medicina. 2011,T.1, №2. S. 51-55
8. Kireev S.S. Bol' i stress u novorozhdennyh( obzor literatury) // Vestnik novyh medicinskih tehnologiy. 2016. T. 23. № 4. S.328-342.
9. Kireev S.S., Tokarev A.R. Gipoksiya pri arterial'noy gipertenzii (obzor literatury) // Vestnik novyh medicinskih tehnologiy. 2016 . T. 23, № 4. S.328-342.
10. Girsh A.O. i dr. Opyt primeneniya sbalansirovannoy nnfuzionnoy terapii pri travmaticheskom shoke i ostroy pochechnoy nedostatochnosti // Medicina katastrof- 2013. №4(73). S. 10-16.
11. Pivovarova L.P. Narusheniya funkcii immunnoy sistemy pri mehanicheskoy shokogennoy travmei metody ih korrekcii: Dis… d-ra med. nauk. - L., 1999. - 223 s.
12. Reshetnikova S.Yu., Rudnov V.A., Guseva E.Yu. Citokinovyy otvet i markery sistemnoy al'teracii kak kriterii rannego prognoza pri tyazheloy mehanicheskoy travme // Sbornik materialov Vserossiyskogo kongressa anesteziologov i reanimatologov i XI s'ezda Federacii anesteziologov i reanimatologov / Pod red. Yu.S. Polushina. - SPb.,2008. - S. 212-213.
13. Skoraya medicinskaya pomosch' postradavshim v dorozhno-transportnyh proisshestviyah. - SPb.:IPK «KOSTA», 2007. - 400 s.
14. A Practical System of Surgery: By James Latta, ... Illustrated with Cases on Many of the Subjects, and with Sopperplates. In Three Volumes.
15. Bellinger D.L., Felten S.Y., Lorton D. Origin of noradrenergic innervation of the spleen in rats. Brain Behav // Immun., 1989, V.3. R.291-311.
16. Clark W.R., Mueller B.A., Alaka K.J., Macias W.L. A comparison of metabolic control by continuous and intermittent therapies in acute renal failure. // J Am Soc Nephrol. 1994. Vol.4. P. 1413-1420.
17. Granger D.N., Kvietys P.R., Perry M.A. LeukocyteendothelialCell Adhesion Induced by Ischemia and Reperfusionm // Canadian J. of Physiology and Pharmacology. 1993. Vol. 71, № 1. P. 67-75.
18. Mawritz W., Schimetta W., Oberreither S. et al. Arehypertonic hyperoncotic solutions safe for prehospitalsmall-volume resuscitation? // Eur. J. Emergency Med. 2002. № 9. P. 315-319.
19. Nickerson M. Factors of vasoconstriction and dilatation in shor // J. Michigan St. Med. Society. 1955. Vol. 54, № 1. P. 45-53.
