THE CHOICE OF DIAGNOSTIC METHOD OF HEMOCOAGULATION DISORDERS IN PATIENTS UNDER CONDITION OF HYPOVOLEMIC SHOCK USING LOW-FREQUENCY PIEZOELECTRIC THROMBOELASTOGRAPHY
Keywords:
hypovolemic shock, highly sensitive express-method, low-frequency piezoelectric thromboelastographyAbstract
Topic. Hypovolemic shock — a severe, acute condition, which is characterized by progressive disorders of all life-support systems of the body and requires emergency care. The most important for assessing the severity of shock reaction and the prognosis for the patient is to determine the extent of damage of hemostasis. Aim. Identify the benefits of integrated diagnostic function of the system hemocoagulation with the use of low-frequency piezoelectric thromboelastography (LPTEG) in patients in a state of hypovolemic shock compared with traditional methods of diagnosis. Materials and methods. The work was carried out at the units of intensive care ORH, resuscitation and intensive therapy department of the Clinical Hospital N 11. There were examined patients under condition of hypovolemic shock (25 patients), which were used the method LPTEG and performed functional evaluation of the system hemocoagulation dynamics. Results. All patients had a deep breach in the physical state system of regulation of blood with a tendency to hypercoagulability. Patients of the basic group using the method LPTEG made it possible to obtain data that indicated the presence of disturbances in the system hemocoagulation (hypercoagulation) even in cases where traditional methods register normal parameters. Conclusions. The evaluation of the importance of diagnostic methods (LPTEG) compared with other methods of assessment of hemostasis in patients in a state of hypovolemic shock showed greater informative effectiveness of complex diagnostics information using this method due to the greater sensitivity of the method.
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