ПРЕПАРАТЫ ЛЕГОЧНОГО СУРФАКТАНТА ПРИ ОСТРЫХ И ХРОНИЧЕСКИХ ЗАБОЛЕВАНИЯХ ЛЕГКИХ (Часть II)
Аннотация
Во второй части обзора рассматривается проблема сурфактанттерапии острого респираторного дистресссиндрома (ОРДС) у взрослых и детей младшего и старшего возраста. Излагаются сведения о результатах сурфактанттерапии и профилактики ОРДС у больных с тяжелой комбинированной травмой, ингаляционными поражениями, осложнениями при тяжелых расширенных операциях на грудной клетке, при тяжелых пневмониях, в том числе при двусторонней пневмонии на фоне гриппа A/H1N1. Представлены данные о применении сурфактанта в акушерской клинике и профилактике первичной дисфункции легочного трансплантата при трансплантации легких. Обсуждаются результа ты многолетнего использования сурфактанттерапии в России, свидетельствующие о возможности существенного (до 20%) снижения уровня смертности при ОРДС. Кроме того, рассмотриваются примеры сурфактанттерапии других заболеваний легких, таких как стойкие ателектазы, ХОБЛ и бронхиальная астма, а также туберкулез легких.
Об авторе
О. А. Розенберг
Российский научный центр радиологии и хирургических технологий Минздрава РФ, СанктПетербург, Россия
Россия
197758, г. СанктПетербург, Песочный, ул. Ленинградская, 70, Россия
Россия
197758, г. СанктПетербург, Песочный, ул. Ленинградская, 70, Россия
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Рецензия
Для цитирования:
Розенберг О.А. ПРЕПАРАТЫ ЛЕГОЧНОГО СУРФАКТАНТА ПРИ ОСТРЫХ И ХРОНИЧЕСКИХ ЗАБОЛЕВАНИЯХ ЛЕГКИХ (Часть II). Общая реаниматология. 2014;10(5):69-86. https://doi.org/10.15360/1813-9779-2014-5-69-86
For citation:
Rozenberg O.A. Pulmonary Surfactants for Acute and Chronic Lung Diseases (Part II). General Reanimatology. 2014;10(5):69-86. https://doi.org/10.15360/1813-9779-2014-5-69-86
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