THE “THIRD MODE” OF BLOOD FLOW AND PARAMETERS OF CENTRAL HEMODYNAMICS IN CHILDREN WITH APPENDICULAR PERITONITIS AND DESTRUCTIVE PNEUMONIA



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Introduction. In modern world literature there are no data on changes in the central hemodynamics in children with purulent-septic pathologies. Purpose: to improve diagnostics of cardiovascular disorders in children with appendicular peritonitis and destructive pneumonia using device “Cardiocode”. Material and methods. The trial with “Cardiocode” was conducted in two regional medical centers in Voronezh and Belgorod. Hemodynamic parameters were studied in healthy children (n = 60), in children with destructive pneumonia (n = 83) and in children with appendicular peritonitis (n = 98). Parameters of the central hemodynamics were studied in pre- and postoperative period until recovery. Results. It has been found out that in children with appendicular peritonitis and destructive pneumonia the heart rate exceeds normal limits by 37-58%. The stroke volume in children with appendicular peritonitis did not differ of normal values, while in children with destructive pneumonia it declines by 10-15%. Early diastole was significantly reduced on admission, by 75-85% of normal limits. Reduction of parameters was recorded in the rapid expulsion of left ventricular systole from 80% to 70% of normal limits. In children with destructive pneumonia and appendicular peritonitis, tone of the ascending part of the aorta (Vt.a) was increased as well. conclusion. Apparatus "Cardiocode" is an effective non-invasive tool for early diagnostics and for controlling treatment of hemodynamic disorders in children with appendicular peritonitis and destructive pneumonia.

作者简介

V. Vecherkin

Voronezh State Medical University named after N.N. Burdenko

编辑信件的主要联系方式.
Email: vecherkinva@mail.ru
ORCID iD: 0000-0002-6024-6585
俄罗斯联邦

O. Voronova

Autonomous Non-Commercial Institution of Higher Education “Russian New University”

Email: noemail@neicon.ru
ORCID iD: 0000-0003-2976-0794
俄罗斯联邦

D. Toma

Voronezh State Medical University named after N.N. Burdenko

Email: noemail@neicon.ru
ORCID iD: 0000-0002-2010-1728
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P. Koryashkin

Voronezh State Medical University named after N.N. Burdenko

Email: noemail@neicon.ru
ORCID iD: 0000-0002-6447-5035
俄罗斯联邦

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