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ОГЛАВЛЕНИЕ
Предисловие
Введение. . . 5
Глава 1. Синдромы расстройств водно-электролитного баланса. . 10
1.1. Общая вода организма и водные среды......10
1.2. Электролитный состав организма........14
1.3. Осмотическое состояние биологических жидкостей
1.4. Механизмы поддержания внутриклеточного объема жидкости
и внутриклеточного ионного состава....... 18
1.5. Механизмы поддержания внеклеточного объема жидкости и внеклеточного ионного состава.........19
1.6. Контроль водно-электролитного баланса......21
1.7. Центральное венозное давление....
1.8. Клинические варианты водно-электролитного дисбаланса.33
1.9. Обмен электролитов и его патология.......41
1.10. Клинические аспекты терапии расстройств водно-электролитного баланса..............54
Глава 2. Синдромы расстройств кислотно-основного состояния. . 60
2.1. Физико-химические факторы кислотно-основного состояния организма...............60
2.2. Механизмы поддержания кислотно-основного состояния организма................61
2.3. Показатели кислотно-основного состояния крови и методы их определения..............65
2.4. Варианты расстройств кислотно-основного состояния организма................67
Глава 3. Нарушение метаболизма в критических состояниях
3.1. Изменения обмена в критических состояниях.....84
3.2. Эндокринная регуляция метаболизма.......86
3.3. Энергетический метаболизм..........89
3.4. Клинические аспекты патологии метаболизма.
3.5. Метаболизм в условиях голодания.......103
Глава 4. Синдромы острой дыхательной недостаточности.
4.1. Синдром дыхательных расстройств взрослых.....107
4.2. Синдром астматического состояния (астматический статус
4.3. Аспирационный пневмонит (синдром Мендельсона
4.4. Послеоперационная пневмония.........171
Глава 5. Синдромы шока и полиорганная недостаточность
5.1. Общие механизмы основных вариантов шоковых состояний 175
5.2. Элементы патофизиологии шока.......,181
5.3. Полиорганная недостаточность при шоке......194
5.4. Современная концепция необратимого шока.....193
5.5. Клиническая диагностика шока
5.6. Принципы лечения шока. 199
Глава 6. Синдромы расстройств гемостаза (коагулопатии, ДВС-синдром)..227
6.1. Физиология гемостаза...........227
6.2. Общие тесты свертывания крови........237
6.3. Варианты расстройств системы гемостаза......241
6.4. Синдром диссеминированного внутрисосудистого свертывания 252
6.5. Антитромботнческая активность, ингибиторы коагуляции. 259
6.6. Проблемы гемокоагуляции в связи с гемотрансфузией
6.7. Патологический фибринолиз.........261-
6.8. Антикоагулянтная и тромболитическая терапия.
Глава 7. Коматозные состояния и энцефалопатии. Смерть мозга. 267
7.1. Этиологические и патогенетические основы комы
7.2. Классификация комы...........269
7.3. Общая оценка состояния коматозного больного и элементы клинического обследования.......
7.4. Оценка данных дифференцированного обследования
7.5. Клинические варианты комы.........283
7.6. Смерть мозга (запредельная кома)........299
7.7. Дифференциальная диагностика смерти мозга.
Глава 8. Острый нефротический синдром (острая почечная недостаточность) ................305
8.1. Общие вопросы.............309
8.2. Преренальная олигурия...........311
8.3. Острый некроз почечных канальцев
8.4. Гепаторенальный синдром..........318
8.5. Клиническое течение ОПН и принципы терапии
Глава 9. Иммунология критических состояний.
9.1. Иммунная недостаточность и сепсис....
9.2. Иммунологические нарушения при экстремальных состояниях 334
Глава 10. Питание больных в критических состояниях.....343
Список литературы2
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