ABSTRACT
The authors have shown that the suppression of the excretory function of the kidneys during the period of artificial circulation is considerably dependent on the concentration of vasopressin in blood and the associated spasm of renal vessels. The use of morphine as the main medicine for general anesthesia with the dose of 3 mg/kg as compared with the dose 2 mg/kg, gives less level of vasopressin in blood and thus reduces symptoms of antidiuresis in response to the action of strong stressogenic factors.
Subject(s)
Aortic Valve Insufficiency/surgery , Diuresis/physiology , Kidney/physiopathology , Mitral Valve Insufficiency/surgery , Adolescent , Adult , Aortic Valve Insufficiency/physiopathology , Extracorporeal Circulation , Female , Humans , Intraoperative Period , Male , Middle Aged , Mitral Valve Insufficiency/physiopathologyABSTRACT
A comparative analysis of effectiveness of anti-ischemic defense of the myocardium performed in operations on the heart in 128 patients has shown that use of ion-balanced solutions is preferential since it allows reducing intrahospital lethality related with acute cardiac insufficiency from 13.3% to 6.3%.
Subject(s)
Cardioplegic Solutions/administration & dosage , Electrolytes/administration & dosage , Heart Arrest, Induced , Heart Diseases/surgery , Adolescent , Adult , Calcium/administration & dosage , Humans , Ischemia/prevention & control , Magnesium/administration & dosage , Middle Aged , Potassium/administration & dosage , Sodium/administration & dosageABSTRACT
The examination of 56 patients with psychoses following closed commissurotomy (in 1,24% of cases), open commissurotomy (in 3,22%) and prosthetics of heart valves (in 9,1%) enabled the authors to conclude that they are caused by hypercoagulative phase of the disseminated intravascular coagulation of blood.
Subject(s)
Cardiac Surgical Procedures/adverse effects , Neurocognitive Disorders/etiology , Adult , Cardiac Surgical Procedures/psychology , Disseminated Intravascular Coagulation/complications , Female , Humans , Male , Middle Aged , Postoperative Complications/etiologyABSTRACT
Under examination were 134 patients with diffuse peritonitis. The elevated indices of the central hemodynamics (hyperkinetic conditions) was established in the reactive phase of peritonitis followed by growing symptoms of heart failure and general decompensation of blood circulation in the toxic and terminal phases. A difference between the terminal phase of peritonitis and septic shock developing at early stages of the process is shown.
