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Классификация ожогового шока
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Классификация ожогового шока

Warning: file_put_contents(): Only 0 of 1336 bytes written, possibly out of free disk space in /var/www/filosof/data/www/medservices.info/wp-content/plugins/wp-optimize-by-xtraffic/Application/Service/PepVN_Cache.php on line 684 Warning: file_put_contents(): Only 0 of 128 bytes written, possibly out of free disk space in /var/www/filosof/data/www/medservices.info/wp-content/plugins/wp-optimize-by-xtraffic/Application/Service/PepVN_Cache.php on line 684 Warning: file_put_contents(): Only 0 of 128 bytes written, possibly out of free disk space in /var/www/filosof/data/www/medservices.info/wp-content/plugins/wp-optimize-by-xtraffic/Application/Service/PepVN_Cache.php on line 684 Warning: file_put_contents(): Only 0 of 128 bytes written, possibly out of free disk space in /var/www/filosof/data/www/medservices.info/wp-content/plugins/wp-optimize-by-xtraffic/Application/Service/PepVN_Cache.php on line 684 Warning: file_put_contents(): Only 0 of 205 bytes written, possibly out of free disk 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by admin04.12.2014
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Отсутствие отчетливых признаков ожогового шока, пестрота его клинических проявлений затрудняет создание классификации, которая бы полностью удовлетворяла клиницистов и патологов. С учетом данных клиники и лабораторных исследований наш ученый различает 4 степени тяжести ожогового шока: I степень — легкая; II степень — средней тяжести; III степень — тяжелая и IV степень — крайне тяжелая. Наибольшее распространение получила классификация, где ожоговый шок делят на три степени: I степень — легкая, II степень — тяжелая и III степень — крайне тяжелая.

Оценка тяжести ожога складывается в первую очередь на основании определения общей площади ожога и площади глубокого поражения. Обращают также внимание на состояние дыхательных путей, поскольку ожог этой области по своей тяжести приравнивается к глубокому ожогу 10% поверхности тела.

Легкий ожоговый шок (I степень), согласно принятой классификации, развивается у взрослых при общей площади ожога, не превышающей 20% поверхности тела, из них глубоких ожогов не более 10%. У детей, в зависимости от возраста, легкая степень шока может возникнуть и при меньшей площади ожога.

Общее состояние больных при этом средней тяжести. Сознание ясное, пострадавшие спокойны, у лиц старше 50 лет иногда может быть кратковременное возбуждение, дети, наоборот, вялы и заторможены. Кожные покровы бледные, наблюдается мышечная дрожь, иногда озноб. Пульс удовлетворительного наполнения, 90-100 в минуту, ритмичный, АД в пределах нормы. Температура тела субфебрильная или нормальная. Рвоты обычно не бывает. При измерении почасового диуреза в течение суток отмечается кратковременное снижение выделения мочи до 30 мл/ч. Моча нормального цвета, азотемия отсутствует. Гемо-концентрация умеренная (содержание гемоглобина 150-170 г/л, гематокрит до 50%).

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