Abstract
Objective: to study the profile of water sectors in puerperas with preeclampsia and to determine whether it is expedient to include colloidal solutions into an infusion therapy program for this category of patients. Subjects and methods. Forty-two puerperas with moderate and severe preeclampsia, whose delivery was made by cesarean section, were examined. All the study puerperas were divided into 2 groups: 1) 22 puerperas who received heta-hydroethylized starch (HES) solutions as part of infusion therapy; 2) 20 puerperas who did not. Results. At the beginning of the study, both groups had increased systemic water and higher extracellular and interstitial fluid volumes as compared with the normal values. With infusion therapy, Group 1 exhibited a decrease in systemic water from 123.8% on day 1 of the study to 106.7% by day 5 and reductions in interstitial hyperhydration from 141.5 to 110.1% and in extracellular fluid from 139.7 to 108.6% as compared with Group 2. By the end of the study, significant impairments in the balance of water sectors preserved in Group 2. Conclusion. Inclusion of heta-HES (Stabisole) into infusion therapy in patients with preeclampsia on days 1—2 after delivery leads to a rapider normalization of impaired water balance.
Highlights
Forty two puerperas with moderate and severe preeclampsia, whose delivery was made by cesarean section, were examined
All the study puerperas were divided into 2 groups: 1) 22 puerperas who received heta hydroethylized starch (HES) solutions as part of infusion therapy; 2) 20 puerperas who did not
Group 1 exhibited a decrease in systemic water from 123.8% on day 1 of the study to 106.7% by day 5 and reductions in interstitial hyperhydration from 141.5 to 110.1% and in extracellular fluid from 139.7 to 108.6% as compared with Group 2
Summary
На фоне проводи мой инфузионной терапии в 1 й группе по сравнению со 2 й группой отмечено: уменьшение общей воды организ ма со 123,8% в 1 е сутки исследования до 106,7% к 5 м суткам; уменьшение интерстициальной гипергидратации со 141,5 до 110,1%; уменьшение внеклеточной жидкости со 139,7 до 108,6%. Включение хета ГЭК (Стабизол) в состав инфузионной терапии больным с преэклампсией на 1—2 е сутки после родоразрешения приводит к более быстрой нормализации нарушений водного баланса. At the beginning of the study, both groups had increased systemic water and higher extracellular and interstitial fluid volumes as compared with the nor mal values. Group 1 exhibited a decrease in systemic water from 123.8% on day 1 of the study to 106.7% by day 5 and reductions in interstitial hyperhydration from 141.5 to 110.1% and in extracellular fluid from 139.7 to 108.6% as compared with Group 2. By the end of the study, significant impairments in the balance of water sec tors preserved in Group
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