FEATURES OF FUNCTIONAL DISORDERS OF HEMODYNAMICS IN A LARGE CIRCLE OF BLOOD CIRCULATION AND A COMPLEX OF INTENSIVE THERAPY OF POSTPARTUM WOMEN WITH AN ACUTE MASSIVE BLOOD LOSS

Abstract

Aim. To improve the results of diagnostics and treatment, and to decrease the mortality of postpartum women with an acute massive blood loss. Material and methods. Observed postpartum women with acute massive blood loss (n=210) were divided into two groups according to the severity of the condition, and for more detailed research of the stages of homeostasis disorder, according to hemodynamics, consciousness and the condition of central hemodynamics. The control group included 30 healthy women of the reproductive age that were considered as a 3rd group. Results and discussion. The following changes were observed in postpartum women after the arrival of the resuscitation-transfusion team with a hemostatic laboratory to the hospital: hemorrhagic shock characterized by tachycardia, arterial hypotonia, low indicators of heart output, weak contraction ability of the hearth and deep homeostasis disorders. Patients also had a decrease in the stroke volume characterized by a weak contraction ability of the heart. Indicators of the central hemodynamics were in the sub-compensated functional condition amidst blood circulation centralization. Conclusion. After the infusion-transfusion therapy on a background of the blood loss liquidation, observed changes tended to reverse. Normalization of the heart and stroke indexes and total peripheral resistance were noted. The condition of postpartum women after the Implementation of the complex of intensive showed that this process was effective in dynamic.