Water-Sectoral Disorders in Puerperas with Preeclampsia
https://doi.org/10.15360/1813-9779-2007-4-47-50
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.
About the Authors
S. V. Galushka
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, Moscow
B. F. Nazarov
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, Moscow
Ye. M. Shifman
Republican Perinatal Center, Ministry of Health and Social Development of the Republic of Karelia, Petrozavodsk
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Review
For citations:
Galushka S.V., Nazarov B.F., Shifman Ye.M. Water-Sectoral Disorders in Puerperas with Preeclampsia. General Reanimatology. 2007;3(4):47-50. (In Russ.) https://doi.org/10.15360/1813-9779-2007-4-47-50
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