Intensive therapy of severe complications of influenza
Definition of risk factors and clinical characteristics of heavy complications of influenza for working out of criteria of polymodal intensive therapy and resuscitation was the work purpose. Results of linical supervision by 114 sick heavy form of influenza with pulmonary and extra pulmonary complic...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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Journal Infectology
2014-09-01
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| Series: | Журнал инфектологии |
| Subjects: | |
| Online Access: | https://journal.niidi.ru/jofin/article/view/86 |
| _version_ | 1797695504180576256 |
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| author | V. I. Kozhokaru Yu. V. Lobzin D. I. Kozhokaru |
| author_facet | V. I. Kozhokaru Yu. V. Lobzin D. I. Kozhokaru |
| author_sort | V. I. Kozhokaru |
| collection | DOAJ |
| description | Definition of risk factors and clinical characteristics of heavy complications of influenza for working out of criteria of polymodal intensive therapy and resuscitation was the work purpose. Results of linical supervision by 114 sick heavy form of influenza with pulmonary and extra pulmonary complications are presented. All patients suffered from virus pneumonia and sharp defeat of lungs /sharp respirator distress-syndrome (OPL/ORDS). Pulmonary complications included bacterial (85, 96 %) and micotic (2, 63 %) pneumonia, thrombosis of legoch arteries (19,29 %), the sharp respiratory insufficiency, caused by the polyneuropathy of a critical condition of the patient (18,42 %), the exssudative pleuritis (9,65 %), spontaneous pheumothorax (4,39 %), spontaneous pheumomediastinum (2,69 %). Extra pulmonary complications concerned the swell of brain at 100 % of patients, including, with development of a brain coma (26,32 %), sepsis (85,96 %), including, with development of septic shock (68,42 %), syndrome of disseminated intravenous coagulation (49,12 %), multyorgan insufficiency (56,14 %), sharp heavy miocarditis (22,81 %), sharp nephritic insufficiency (18,42 %), sharp hepatic insufficiency (10,52 %). Early development of pathophysiological processes (the expressed infringements of a gas exchange and an acid-base condition, a secondary immunodeficiency, heamodynamical insufficiency,m etc.) leads to underestimation of severity of the patient’s condition and to failer of algorithm of polymodal intensive therapy. Development of severe complications(sepsis, septic shock, sharp respirator distress-syndrome) demands expansion for epidemic of specialized medicalstructures on rendering timely intensive therapy and resuscitation. |
| first_indexed | 2024-03-12T03:13:21Z |
| format | Article |
| id | doaj.art-90ac6a4476544fc39c74101f68a852e1 |
| institution | Directory Open Access Journal |
| issn | 2072-6732 |
| language | Russian |
| last_indexed | 2024-03-12T03:13:21Z |
| publishDate | 2014-09-01 |
| publisher | Journal Infectology |
| record_format | Article |
| series | Журнал инфектологии |
| spelling | doaj.art-90ac6a4476544fc39c74101f68a852e12023-09-03T14:15:28ZrusJournal InfectologyЖурнал инфектологии2072-67322014-09-0141586410.22625/2072-6732-2012-4-1-58-64100Intensive therapy of severe complications of influenzaV. I. Kozhokaru0Yu. V. Lobzin1D. I. Kozhokaru2Государственный медицинский университет Р. Молдовы «Николае Тестемицану», КишиневНаучно-исследовательский институт детских инфекций ФМБА России, Санкт-ПетербургГосударственный медицинский университет Р. Молдовы «Николае Тестемицану», КишиневDefinition of risk factors and clinical characteristics of heavy complications of influenza for working out of criteria of polymodal intensive therapy and resuscitation was the work purpose. Results of linical supervision by 114 sick heavy form of influenza with pulmonary and extra pulmonary complications are presented. All patients suffered from virus pneumonia and sharp defeat of lungs /sharp respirator distress-syndrome (OPL/ORDS). Pulmonary complications included bacterial (85, 96 %) and micotic (2, 63 %) pneumonia, thrombosis of legoch arteries (19,29 %), the sharp respiratory insufficiency, caused by the polyneuropathy of a critical condition of the patient (18,42 %), the exssudative pleuritis (9,65 %), spontaneous pheumothorax (4,39 %), spontaneous pheumomediastinum (2,69 %). Extra pulmonary complications concerned the swell of brain at 100 % of patients, including, with development of a brain coma (26,32 %), sepsis (85,96 %), including, with development of septic shock (68,42 %), syndrome of disseminated intravenous coagulation (49,12 %), multyorgan insufficiency (56,14 %), sharp heavy miocarditis (22,81 %), sharp nephritic insufficiency (18,42 %), sharp hepatic insufficiency (10,52 %). Early development of pathophysiological processes (the expressed infringements of a gas exchange and an acid-base condition, a secondary immunodeficiency, heamodynamical insufficiency,m etc.) leads to underestimation of severity of the patient’s condition and to failer of algorithm of polymodal intensive therapy. Development of severe complications(sepsis, septic shock, sharp respirator distress-syndrome) demands expansion for epidemic of specialized medicalstructures on rendering timely intensive therapy and resuscitation.https://journal.niidi.ru/jofin/article/view/86легочные и внелегочные осложнения гриппаинтенсивная терапия |
| spellingShingle | V. I. Kozhokaru Yu. V. Lobzin D. I. Kozhokaru Intensive therapy of severe complications of influenza Журнал инфектологии легочные и внелегочные осложнения гриппа интенсивная терапия |
| title | Intensive therapy of severe complications of influenza |
| title_full | Intensive therapy of severe complications of influenza |
| title_fullStr | Intensive therapy of severe complications of influenza |
| title_full_unstemmed | Intensive therapy of severe complications of influenza |
| title_short | Intensive therapy of severe complications of influenza |
| title_sort | intensive therapy of severe complications of influenza |
| topic | легочные и внелегочные осложнения гриппа интенсивная терапия |
| url | https://journal.niidi.ru/jofin/article/view/86 |
| work_keys_str_mv | AT vikozhokaru intensivetherapyofseverecomplicationsofinfluenza AT yuvlobzin intensivetherapyofseverecomplicationsofinfluenza AT dikozhokaru intensivetherapyofseverecomplicationsofinfluenza |