Application of citrate dialysis in the treatment of puerperal sepsis
Aim. To describe the results of applying citrate dialysis in the complex therapy of a patient with postpartum sepsis.Materials and methods. This paper presents an analysis of a case of the successful treatment of patient P. with the diagnosis “Childbirth 3 urgent. Pfannenstiel laparotomy. Caesarean...
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| Format: | Article |
| Language: | Russian |
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Ministry of Healthcare of the Russian Federation. “Kuban State Medical University”
2020-02-01
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| Series: | Кубанский научный медицинский вестник |
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| Online Access: | https://ksma.elpub.ru/jour/article/view/2080 |
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| author | Grigorii A. Penjoyan Margarita D. Andreeva Vladislav V. Ponomarev Sergei I. Goncharenko Emmanuella A. Bayanduryan Margarita G. Novosartian Fatima B. Kazanchi |
| author_facet | Grigorii A. Penjoyan Margarita D. Andreeva Vladislav V. Ponomarev Sergei I. Goncharenko Emmanuella A. Bayanduryan Margarita G. Novosartian Fatima B. Kazanchi |
| author_sort | Grigorii A. Penjoyan |
| collection | DOAJ |
| description | Aim. To describe the results of applying citrate dialysis in the complex therapy of a patient with postpartum sepsis.Materials and methods. This paper presents an analysis of a case of the successful treatment of patient P. with the diagnosis “Childbirth 3 urgent. Pfannenstiel laparotomy. Caesarean section in the lower uterine segment. Hypotonic bleeding. Relaparotomy: ligation of the internal iliac arteries, hemostasis. Relaparotomy: additional hemostasis, pelvic tamponade, abdominal cavity tamponade. Hemorrhagic shock of fourth category. Extirpation of the uterus with tubes. Sepsis. Septic shock. DIC syndrome”. Citrate dialysis was included as part of intensive care therapy.Results. Citrate dialysis allowed the patient with multiple organ failure, against the background of complex intensive care therapy, to restore kidney function after 28 sessions of renal replacement therapy. Diuresis was completely restored on day 42. Biochemical parameters, such as urea and creatinine, were normalized on day 45. The duration of treatment in the anesthesiology and resuscitation departments was 47 days, out of which lung mechanical ventilation lasted for 17 days. The total duration of treatment in the hospital was 54 bed days. The patient was discharged in satisfactory condition.Conclusion. The methods of extracorporeal detoxifi cation can signifi cantly improve treatment outcomes in this category of patients and reduce maternal mortality rates. |
| first_indexed | 2024-03-07T21:47:38Z |
| format | Article |
| id | doaj.art-90149265e02b4027b89212742aecc773 |
| institution | Directory Open Access Journal |
| issn | 1608-6228 2541-9544 |
| language | Russian |
| last_indexed | 2025-03-14T11:27:53Z |
| publishDate | 2020-02-01 |
| publisher | Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” |
| record_format | Article |
| series | Кубанский научный медицинский вестник |
| spelling | doaj.art-90149265e02b4027b89212742aecc7732025-03-02T10:05:35ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442020-02-0127113514510.25207/1608-6228-2020-27-1-135-1451168Application of citrate dialysis in the treatment of puerperal sepsisGrigorii A. Penjoyan0Margarita D. Andreeva1Vladislav V. Ponomarev2Sergei I. Goncharenko3Emmanuella A. Bayanduryan4Margarita G. Novosartian5Fatima B. Kazanchi6Kuban State Medical UniversityKuban State Medical UniversityKuban State Medical UniversityRegion Clinic Hospital No 2Kuban State Medical UniversityKuban State Medical UniversityKuban State Medical UniversityAim. To describe the results of applying citrate dialysis in the complex therapy of a patient with postpartum sepsis.Materials and methods. This paper presents an analysis of a case of the successful treatment of patient P. with the diagnosis “Childbirth 3 urgent. Pfannenstiel laparotomy. Caesarean section in the lower uterine segment. Hypotonic bleeding. Relaparotomy: ligation of the internal iliac arteries, hemostasis. Relaparotomy: additional hemostasis, pelvic tamponade, abdominal cavity tamponade. Hemorrhagic shock of fourth category. Extirpation of the uterus with tubes. Sepsis. Septic shock. DIC syndrome”. Citrate dialysis was included as part of intensive care therapy.Results. Citrate dialysis allowed the patient with multiple organ failure, against the background of complex intensive care therapy, to restore kidney function after 28 sessions of renal replacement therapy. Diuresis was completely restored on day 42. Biochemical parameters, such as urea and creatinine, were normalized on day 45. The duration of treatment in the anesthesiology and resuscitation departments was 47 days, out of which lung mechanical ventilation lasted for 17 days. The total duration of treatment in the hospital was 54 bed days. The patient was discharged in satisfactory condition.Conclusion. The methods of extracorporeal detoxifi cation can signifi cantly improve treatment outcomes in this category of patients and reduce maternal mortality rates.https://ksma.elpub.ru/jour/article/view/2080maternal mortalitysepsissepsis criteriarenal insuffi ciencyextracorporeal methods of treatment |
| spellingShingle | Grigorii A. Penjoyan Margarita D. Andreeva Vladislav V. Ponomarev Sergei I. Goncharenko Emmanuella A. Bayanduryan Margarita G. Novosartian Fatima B. Kazanchi Application of citrate dialysis in the treatment of puerperal sepsis Кубанский научный медицинский вестник maternal mortality sepsis sepsis criteria renal insuffi ciency extracorporeal methods of treatment |
| title | Application of citrate dialysis in the treatment of puerperal sepsis |
| title_full | Application of citrate dialysis in the treatment of puerperal sepsis |
| title_fullStr | Application of citrate dialysis in the treatment of puerperal sepsis |
| title_full_unstemmed | Application of citrate dialysis in the treatment of puerperal sepsis |
| title_short | Application of citrate dialysis in the treatment of puerperal sepsis |
| title_sort | application of citrate dialysis in the treatment of puerperal sepsis |
| topic | maternal mortality sepsis sepsis criteria renal insuffi ciency extracorporeal methods of treatment |
| url | https://ksma.elpub.ru/jour/article/view/2080 |
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