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Articolul urmator |
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Ultima descărcare din IBN: 2023-05-29 10:59 |
SM ISO690:2012 MOISEI, Doina, TARAN, Anatolie. Anti-shock therapy in the treatment of an electrocuted patient. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 350. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 350-350 | ||||||
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Rezumat | ||||||
Background. An electrical injury involves injuries of different degree that require immediate and complex therapeutic correction by a multidisciplinary team. Anti-shock therapy is primarily focused on organs of vital importance, and its quality determines the chances of survival of a patient. Objective of the study. To argue the importance of a qualitative and complex anti-shock therapy, performed in the first hours after the accident, aimed to correct acido-basic, infectious, thrombotic and hydric disorders etc. Material and Methods. The work was performed on a group of 36 patients with electrical injury, hospitalized in the period of 2015 - 2020. The analyzed characteristics were: antibiotic therapy used, the type of anticoagulant treatment, the type of acido-basic disorders, the number of infectious and thrombotic complications etc. Results. In 30 cases of 36 an aggressive volume substitution therapy was realized from the beginning, the basic indication was the presence of clinical signs of renal injury determined by myoglobinuria and hemoglobinuria secondary to rhabdomyolysis. As a result in 21 cases the aggressive volume substitution therapy lead to anemia, which was corrected by infusion of erythrocyte concentrate. 27 patients presented metabolic acidosis ameliorated by infusion of sodium bicarbonate solution. All patients received anticoagulant treatment and antimicrobial therapy. Conclusion. Anti-shock therapy is an essential element in the treatment of an electrocuted patient. Being aplicated early and correctly it increases the chances to survive the critical period post-electrical injury and subsequently contributes to the patient’s rehabilitation. |
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Cuvinte-cheie electrical injury, anti-shock therapy, electrotraumatism, terapie antișoc, pacient electrocutat |
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