Baranova N. Optimizing fluid therapy in extensive liver resection

The thesis is devoted to the diagnosis and treatment of closed injuries of the heart in patients with multiple trauma. Results of treating 90 victims with a closed heart injury. Found that for a closed injury of the heart are common characteristics of hypokinetic circulation in the first day after injury: CI 2,27-2,31-2,21 l / min • m2, UO: 34,7-37,7-34,3 ml, DC: 50,2-51,4-50,7%. Later in the background normalization SI formed early signs of diastolic dysfunction: UO - 39,4 ± 3,6 ml, DC - 32,5 ± 3,2% on the fifth day after the injury (in the standard therapy). Application endothelial and cardiac helped reduce symptoms of diastolic dysfunction of the 3rd day UO - 59,7 ± 4,2 ml, DC - 57,2 ± 4,9% and prevented the development of acute heart failure. Proved the significance indicator troponin I and its role in the diagnosis of myocardial injury closed