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.

ОСНОВНЫЕ ПРИНЯТЫЕ УСЛОВНЫЕ ОБОЗНАЧЕНИЯ

ЧСС

ЦВД

АД

чдд

Р02 А Р02 В ВЕа

В Ев рСО,А рСО~В

частота сердечных сокращении . центральное венозное давление артериальное давление частота дыхательных движений

напряжение кислорода артериальной крови напряжение кислорода венозной крови буферный эксцесс артериальной крови буферный эксцесс венозной крови напряжение углекислого газа артериальной крови напряжение углекислого газа венозной крови

СОДЕРЖАНИЕ

ПРЕДИСЛОВИЕ

7

ОТ АВТОРОВ

9

Глава 1. Современное состояние проблемы

 

хирургии ранений сердца

12

Становление хирургии повреждений сердца

12

Структура, классификация

 

и исходы ранений сердца

13

Гемодинамические нарушения

 

при ранениях сердца

16

Современные принципы диагностики

 

ранений сердца

18

Хирургическая и реанимационная тактика

 

при ранениях сердца

20

Глава 2. Особенности клиники и методы исследования

 

при ранениях сердца

28

Глава 3. Особенности диагностики ранений сердца

37

Глава 4. Особенности хирургической тактики

 

при ранениях сердца

49

Принципы организации специализированного

отделения и задачи операции

58

Хирургическое лечение пострадавших

 

с ранениями сердца по материалам клиники

61

Глава 5. Особенности интенсивной терапии

 

в послеоперационном периоде

69

Коррекция гсмодинамичсских

 

и дыхательных расстройств

69

Анализ послеоперационных осложнений

78

Оценка угрожающих состояний

 

и прогноз исхода у пострадавших

 

по индексам тяжести

83

 

Клинический индекс тяжести

84

 

Лабораторный индекс тяжести

86

Глава 6.

Отдаленные результаты хирургического

 

 

 

лечения ранений сердца

89

Глава 7.

Экспериментальное моделирование

 

 

 

ранений сердца

94

 

Разработка способов и устройств для

 

 

 

воспроизведения и достижения гемостаза

 

 

 

при ранениях сердца

94

 

Апробация устройства и способа временного

 

 

 

стабильного гемостаза в эксперименте

103

ЗАКЛЮЧЕНИЕ

109

СПИСОК ЛИТЕРАТУРЫ

112

ОСНОВНЫЕ ПРИНЯТЫЕ УСЛОВНЫЕ ОБОЗНАЧЕНИЯ

153