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Рябов Г.А. - Синдромы критических состояний - 1994

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ОГЛАВЛЕНИЕ

 

 

 

 

Предисловие. . . .

3

 

 

 

Введение .... ..........

. . . 5

 

 

 

Глава 1. Синдромы расстройств водно-электролитного баланса . . 10

1.1. Общая вода организма и водные среды......

10

1.2. Электролитный состав организма........

14

 

1.3. Осмотическое состояние биологических жидкостей . . .14

1.4. Механизмы поддержания внутриклеточного объема жидкости

и внутриклеточного ионного состава .......

18

 

1.5. Механизмы поддержания внеклеточного объема жидкости и

внеклеточного ионного состава.........

19

 

 

1.6. Контроль водно-электролитного баланса......

21

1.7. Центральное венозное давление.......

. .

32

 

1.8. Клинические варианты водно-электролитного дисбаланса .33

1.9. Обмен электролитов и его патология.......

 

41

1.10. Клинические аспекты терапии расстройств водно-электролитного

баланса..............

54

 

 

 

Глава 2. Синдромы расстройств кислотно-основного состояния . . 60

2.1.Физико-химические факторы кислотно-основного состояния

организма...............

60

2.2. Механизмы поддержания кислотно-основного состояния орга-

низма................

61

2.3. Показатели кислотно-основного состояния крови и методы их

определения..............

65

2.4.Варианты расстройств кислотно-основного состояния

организма................

67

 

 

 

 

 

Глава 3. Нарушение метаболизма в критических состояниях

. . .84

3.1. Изменения обмена в критических состояниях.....

84

 

3.2. Эндокринная регуляция метаболизма.......

86

 

 

3.3. Энергетический метаболизм..........

89

 

 

 

 

3.4. Клинические аспекты патологии метаболизма ....

100

 

3.5. Метаболизм в условиях голодания.......

103

 

 

Глава 4. Синдромы острой дыхательной недостаточности ....

105

4.1. Синдром дыхательных расстройств взрослых.....

107

 

4.2. Синдром астматического состояния (астматический статус) . 157

4.3. Аспирационный пневмонит (синдром Мендельсона) . .

.167

4.4. Послеоперационная пневмония.........

 

171

 

 

 

Глава 5. Синдромы шока и полиорганная недостаточность . .

.175

5.1. Общие механизмы основных вариантов шоковых состояний 175

5.2. Элементы патофизиологии шока.......

 

,181

 

 

 

5.3. Полиорганная недостаточность при шоке......

194

 

5.4. Современная концепция необратимого шока.....

193

 

5.5.Клиническая диагностика шока

5.6.Принципы лечения шока . 199

Глава 6. Синдромы расстройств гемостаза (коагулопатии, ДВС-