Modern diagnostics and complex treatment of hemorrhagic disorders in children with “cyanotic” congenital heart disease

Abstract

The aim. To study the frequency and volume of postoperative bleeding in children operated with “cyanotic” CHD and to estimate efficacy of modern methods of diagnosis hemorrhagic disorders in the perioperative period.Materials and Methods. It was studied a group of children with “cyanotic” CHD, which applied standard methods of diagnosis of hemostasis and a group of patients in whom correction of hemostasis was performed under the supervision low-frequency vibration of the piezoelectric thromboelastography (LVPT). Results. The study found that intraoperative period at the end of the studied groups were observed hypocoagulation phenomenon, as evidenced by a significant decrease prothrombin ratio and prothrombin time in the first group and a significant decrease ICT, TBC, ICD, ICP, TIC in the second group compared to a group of healthy children. The volume and speed of blood loss was not significantly different in both groups. The frequency of bleeding, which exceeded 3 ml/kg/hour the first group was 16.6%, in the second - 10%.Conclusions. Despite not what the average volume and rate of bleeding between the groups was not significantly different, tactics differentiated treatment that was used in the second group through modern methods of diagnosis, can reduce the volume and number of medications and to avoid possible drug polypharmacy.