Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
1121 5 |
Ultima descărcare din IBN: 2022-02-02 21:36 |
Căutarea după subiecte similare conform CZU |
616.24-002-08:618.7 (1) |
Patologia sistemului respirator. Tulburări ale organelor de respiraţie (757) |
SM ISO690:2012 COJOCARU, Victor, EŢCO, Ludmila, STASIUC, Violeta, BEJINARU, S., IAROŞEVICI, Tatiana, MOŞNEAGA, Liliana, RADULOV, Petru, CURAJOS, Tatiana, GAIDĂI, Natalia, MARCENCO, Iurie, OSMAN, Victor, LEVCENCO, Petru. Sindromul de detresă respiratorie acută la o lăuză cu multiple complicaţii pulmonare şi extrapulmonare (caz clinic). In: Buletin de Perinatologie, 2015, nr. 1(65), pp. 74-79. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 1(65) / 2015 / ISSN 1810-5289 | ||||||
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CZU: 616.24-002-08:618.7 | ||||||
Pag. 74-79 | ||||||
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Rezumat | ||||||
A case of a 36-year old woman with Adult Respiratory Distress Syndrome, which was complicated with pneumomediastinum and cardiogenic shock because of the extrapericardiac air tamponation of the heart. The pneumomediastinum was resolved in 4 days. Cardiogenic shock provoked acute renal failure with oliguria and DIC syndrome, which caused acute pulmonary embolism (at the 11-th day of the treatment) and neurological aggravation up to coma I. Acute pulmonary embolism changed for the worse pre-existent acute respiratory failure, and the oxygen requirement increased to maximum. An exogenous pulmonary surfactant administration (at the 16-th day of the treatment) was the crucial decision in the management of acute respiratory failure at the discussed patient, because after that the oxygen requirement have considerably decreased. At the 20-th day of treatment oliguria has passed in poliuria, which lasted 9 days. In 7 days after the diuresis normalisation, a paroxysmal sinus tachycardia with heart rate 200 was observed and successfully stopped. Neurological status was nearly completely normalised, but swallowing infringement was observed till 42 day of treatment. After 58 days of treatment the patient was sent home. |
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