Shevchenko Iu L, Matveev S A, Mazaĭshvili K V
Vestn Khir Im I I Grek. 1998;157(5):130-2.
Great surgical aggression in operations on the heart and resulting immunodeficiency create prerequisites for the appearance and grave course of infectious complications. The authors have analyzed results of operative treatment of 100 patients with acquired valvular diseases. It has been established that low parameters of the resistance index of organism (RIO) before operation can be estimated as an unfavourable prognostic sign of the development of infectious complications. The RIO dynamics at the postoperative period in many aspects reflects the character of its course. RIO and the indices of the adaptation reaction show the degree of intoxication, make the clinical estimation objective, allow the assessment of efficiency of therapy and correction of medical prescriptions.
心脏手术中的激进外科操作以及由此导致的免疫缺陷为感染性并发症的出现和严重发展创造了前提条件。作者分析了100例获得性瓣膜病患者的手术治疗结果。已确定术前机体抵抗指数(RIO)较低可被视为感染性并发症发生的不良预后指标。术后RIO的动态变化在很多方面反映了其病程特点。RIO和适应反应指标显示中毒程度,使临床评估更客观,有助于评估治疗效果并调整医疗处方。