Volgograd Journal of Medical Research
Quarterly Journal of Science and Practice

UDK: 618.3-06

Intensive therapy of pre-eclampsia with acute respiratory failure (clinical case)

V. V. Galkin, V. Yu. Ovsejchik, M. V. Bocharov

ГУЗ «Городская клиническая больница скорой медицинской помощи No 25»

Abstract

Archival case of intensive therapy in a patient with pre-eclampsia and multiple organ failure (MODS). Complications: acute respiratory distress syndrome and non-cardiogenic pulmonary edema. The patient was diagnosed with respiratory failure in the department of intensive care and intensive care. Clinically significant water-sectoral disorders were re- vealed in the form of pronounced extravascular hyperhydration combined with a decrease in the volume of circulating blood. Respiratory, medication and infusion intensive therapy were performed. The basic task of infusion-transfusion therapy was the osmotic correction of the volemic function of blood, for the transfer of excess fluid from the extravascu- lar sector to the intravascular and subsequent excretion through the kidneys. A vivid example of effective and safe infusion therapy in a patient with multiple organ failure is presented after assessing water-sectoral disorders of the organism with subsequent fulfillment of target tasks.

Keywords

Pre-eclampsia, pathology of water exchange, infusion therapy, small-volume low-flow continuous infusion, hydroxyethyl starch, body fluid compartments, multiple organ failure (MODS)

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