Grebennikov V A, Mishina T P, Stepanenko S M
Anesteziol Reanimatol. 1991 Jan-Feb(1):21-4.
Central hemodynamics was studied, using echocardiography and dopplercardiometry in 48 newborn operated on the abdominal organs. General regularities of hemodynamic changes in the first postoperative hours irrespective of the initial type of circulation have been established. Two types of cardiovascular system response to the operation stress are described; an increase and a drop in the cardiac output, which is extremely important for the diagnosis of impaired compensatory-adaptive mechanisms in the newborn. Special attention was paid to the assessment of the adequacy of the infusion therapy. Volume-load test facilitates the diagnosis of latent heart failure. Timely prescription of cardiotonic drugs and differential approach to infusion therapy prevent the onset of circulatory disturbances.
对48例接受腹部器官手术的新生儿进行了超声心动图和多普勒心动描记术检查，以研究其中心血流动力学。已确定术后最初数小时内血流动力学变化的一般规律，而不考虑初始循环类型。描述了心血管系统对手术应激的两种反应类型；心输出量增加和下降，这对诊断新生儿代偿 - 适应机制受损极为重要。特别关注了输液治疗充分性的评估。容量负荷试验有助于隐匿性心力衰竭的诊断。及时开具强心药物和采用差异化的输液治疗方法可预防循环障碍的发生。
