THE SPECIFIC FEATURES OF SEPTIC SHOCK IN OBSTETRICS
- Авторлар: KULIKOV AV1, Kulikov AV2
-
Мекемелер:
- Ural State Medical Academy, Yekaterinburg
- Шығарылым: № 5 (2010)
- Беттер: 121-125
- Бөлім: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/246447
- ID: 246447
Дәйексөз келтіру
Толық мәтін
Аннотация
The paper considers the issues of initial intensive therapy for septic shock in obstetrics. This protocol is based on the current guidelines of the leading Russian (the Russian Association of Surgical Infection Specialists) and foreign (SSC) organizations. The specific traits of a pregnant woman are discussed in relation to the infectious process, as well as the etiology and risk factors, the current diagnostic criteria for severe sepsis and septic shock are discussed. Attention is given to the fact that the systemic manifestations of the septic process are considerably ahead of the local manifestations of a uterine purulent process and that it is necessary to be oriented to the current markers and criteria when making a decision to sanitize a primary focus of infection. The present-day initial intensive care protocol for septic shock, which gives not only the currently available treatments, but also states the time of their performance, is presented. The basic principles in the reduction of maternal mortality associated with pyoseptic diseases are defined.
Авторлар туралы
A KULIKOV
Ural State Medical Academy, YekaterinburgUral State Medical Academy, Yekaterinburg
A Kulikov
Әдебиет тізімі
- Сепсис в начале XXI века. Классификация, клинико-диагностическая концепция и лечение. Патологоанатомическая диагностика: Практическое руководство. - М., 2004.
- Dellinger R.P., Levy M.M., Carlet J.M. et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008 // Intensive Care Med. - 2008. - Vol. 34, № 1. - Р. 17-60.
- Kumar A., Roberts D, Wood K.E. et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock // Crit. Care Med. - 2006. - Vol. 34. - Р. 1589-1596.
- Kumar A. Optimizing antimicrobial therapy in sepsis and septic shock // Crit. Care Clin. - 2009.- Vol. 25, № 4. - Р. 733-751.