Management of intraperitoneal hemorrhage bleeding as a complication of a gynecologic disease
- Authors: Nazarenko OY.1,2, Timofeyeva SV3
-
Affiliations:
- Odessa National Medical University, Odessa, Ukraine
- Military Medical Clinical Centre of Southern Region, Odessa, Ukraine
- Ukrainian Scientific Research Institute of Medicine of Transport, Odessa, Ukraine
- Issue: Vol 95, No 2 (2014)
- Pages: 211-216
- Section: Theoretical and clinical medicine
- URL: https://journals.rcsi.science/kazanmedj/article/view/2066
- DOI: https://doi.org/10.17816/KMJ2066
- ID: 2066
Cite item
Full Text
Abstract
Aim. To evaluate the effectiveness of intra- and post-surgical resuscitation targeted at blood loss replacement in patients with moderate, severe and profuse intraperitoneal hemorrhage caused by ectopic pregnancy and ovarian apoplexy. Methods. Heart rate variability and cardiac intervals assessment were used as additional criteria for patient monitoring. 97 female patients with intraperitoneal hemorrhage of 500-1500 ml underwent endoscopic surgery. Autologous blood transfusion, as well as packed blood products and blood substitutes were used for blood loss replacement. Heart rate variability assessment and analysis of cardiac intervals indicate that pathogenesis of adaptation and blood loss compensation in female patients with intraperitoneal hemorrhage exceeding 500 ml depends on blood loss volume and methods of blood loss replacement. Results. Parameters of adaptation and blood loss compensatory mechanisms in patients with moderate and severe blood loss, who underwent intrasurgical autologous blood transfusion, were close to normal values at days 7 and 14 after treatment. Patients with severe and profuse intraperitoneal hemorrhage treated with packed blood products had the longest red blood count and heart rate variability recovery period. Conclusion. Heart rate variability assessment allowed effectively estimating the treatment effect in female patients with intraperitoneal hemorrhage as a complication of a gynecologic disease exceeding 500 ml.
Full Text
##article.viewOnOriginalSite##About the authors
O Ya Nazarenko
Odessa National Medical University, Odessa, Ukraine; Military Medical Clinical Centre of Southern Region, Odessa, Ukraine
S V Timofeyeva
Ukrainian Scientific Research Institute of Medicine of Transport, Odessa, Ukraine
Email: timasveta8@ukr.net
References
- Айламазян Э.К., Рябцева И.Т. Неотложная помощь при экстренных состояниях в гинекологии. - Н. Новгород: НГМА, 2003. - 183 с.
- Баевский Р.М., Берсенева А.П. Оценка адаптационных возможностей организма и риск развития заболеваний. - М.: Медицина, 1997. - С. 205-214.
- Воскресенский А.Д., Вентцель М.Д. Статистический анализ сердечного ритма и показателей гемодинамики в физиологических исследованиях. - М.: Наука, 1974. - 221 с.
- Гладчук І.З., Каштальян М.А., Назаренко О.Я., Якименко О.В. Спосіб реінфузії крові з черевної порожнини при лапароскопічній гінекологічній операції. Деклараційний патент №22716U, UA, МПК6: А61В17/00. Заявник та патентовласник Одес. держ. мед. ун-т. Бюлл. №5 от 25.04.07.
- Запорожан В.Н. Акушерство и гинекология. Кн. 2. Гинекология: учебник. - К.: Здоров’я, 2001. - 328 с.
- Ярочкин В.С., Панов В.П., Максимов П.И. Острая кровопотеря. - М.: МИА, 2004. - 363 с.
- Malik M., Camm A.J. Components of heart rate variability. What they really mean and what we really measure // Am. J. Cardiol. - 1993. - Vol. 72. - P. 821-822.