THE “THIRD MODE” OF BLOOD FLOW AND PARAMETERS OF CENTRAL HEMODYNAMICS IN CHILDREN WITH APPENDICULAR PERITONITIS AND DESTRUCTIVE PNEUMONIA
V. А. Vecherkin , O. K. Voronova , D. A. Toma , P. V. Koryashkin
Russian Journal of Pediatric Surgery ›› 2019, Vol. 23 ›› Issue (4) : 193 -195.
THE “THIRD MODE” OF BLOOD FLOW AND PARAMETERS OF CENTRAL HEMODYNAMICS IN CHILDREN WITH APPENDICULAR PERITONITIS AND DESTRUCTIVE PNEUMONIA
Introduction. In modern world literature there are no data on changes in the central hemodynamics in children with purulent-septic pathologies. Purpose: to improve diagnostics of cardiovascular disorders in children with appendicular peritonitis and destructive pneumonia using device “Cardiocode”. Material and methods. The trial with “Cardiocode” was conducted in two regional medical centers in Voronezh and Belgorod. Hemodynamic parameters were studied in healthy children (n = 60), in children with destructive pneumonia (n = 83) and in children with appendicular peritonitis (n = 98). Parameters of the central hemodynamics were studied in pre- and postoperative period until recovery. Results. It has been found out that in children with appendicular peritonitis and destructive pneumonia the heart rate exceeds normal limits by 37-58%. The stroke volume in children with appendicular peritonitis did not differ of normal values, while in children with destructive pneumonia it declines by 10-15%. Early diastole was significantly reduced on admission, by 75-85% of normal limits. Reduction of parameters was recorded in the rapid expulsion of left ventricular systole from 80% to 70% of normal limits. In children with destructive pneumonia and appendicular peritonitis, tone of the ascending part of the aorta (Vt.a) was increased as well. conclusion. Apparatus "Cardiocode" is an effective non-invasive tool for early diagnostics and for controlling treatment of hemodynamic disorders in children with appendicular peritonitis and destructive pneumonia.
«третий режим» движения крови / «Кардиокод» / children / “third mode” of blood flow / appendicular peritonitis / destructive pneumonia / Cardiocode / central hemodynamics
| [1] |
Фолков Б., Нил Э. Кровообращение. М.: Медицина; 1976. |
| [2] |
Руководство по кардиологии. Том I. Под ред. Е.И.Чазова. М.: Медицина; 1982. |
| [3] |
Джонсов П. Периферическое кровообращение. М.: Медицина; 1982. |
| [4] |
Каро К., Педли Т., Шротер Р., Сид У. Механика кровообращения. М.: Мир; 1981. |
| [5] |
Селезнев С.А., Вашетина С.М., Мазуркевич Г.С. Комплексная оценка кровообращения в экспериментальной патологии. Л.: Медицина; 1976. |
| [6] |
Розен Р. Принцип оптимальности в биологии. М.: Мир; 1969. |
| [7] |
Воронова О.К. Разработка моделей и алгоритмов автоматизированной оценки транспортной функции сердечно-сосудистой системы. Дис. канд. тех. наук: ВГТУ: Воронеж; 1995. |
| [8] |
Поединцев Г.М. О режиме движения крови по кровеносным сосудам. В сб. научных трудов: Развитие новых неинвазивных методов исследования в кардиологии. Воронеж: 1983. |
| [9] |
Теоретические основы фазового анализа сердечного цикла. Москва, Хельсинки: Изд-во ИКМ; 2007. |
| [10] |
Chatha N., Fortin D., Bosma K.J. Management of necrotizing pneumonia and pulmonary gangrene: a case series and review of the literature. Can Respir J. 2014;21:239-45. |
| [11] |
Loizzi M., De Palma A., Pagliarulo V., Loizzi D., Sollitto F. Pulmonary infections of surgical interest in childhood. Thorac Surg Clin. 2012;22:387-401. |
| [12] |
Лим М.В., Исаева Л.И., Урунова М.А. Диагностика сердечно-сосудистой недостаточности при пневмониях у детей раннего возраста. Детская хирургия. 2019; 23(8): 36 |
/
| 〈 |
|
〉 |
PDF
