Saratov JOURNAL of Medical and Scientific Research

The contemporary methods of patients with intraperitoneal bleeding of genital origin treatment objective efficacy assessment


The aim of the article: the peculiarities of the modern methods of treatment efficiency objective assessment in considerable contingent of patients with intraperitoneal bleeding of a genital origin are investigated. Material et metods: The original data of intra- and postoperative medical interventions efficiency are given and analyzed in 78 patients who were operated laparoscopically owing to intraperitoneal bleedings up to 500 ml of blood. Results. Circulating blood volume in these patients was restituted by blood Autohaemoreinfusion together with donors' blood and blood-substituting compounds injection. Red blood cells and hemoglobin content together with heart rate variability indexes were taken as the markers of the patients' organism functional condition and rehabilitation efficacy estimation. One month after miniinvazive treatment in women with acute intraperitoneal blood loss above 500 ml one could see certain sympathetic activation with reciprocal parasympathetic activity suppression together with pertinent activation degree value normalization. Conclusions. The conclusion was made that HRV data analysis allows to make an objective estimation of women with acute genital intraperitoneal bleeding (above 500 ml) treatment efficacy. The last is very important in the prognostic aspect because there are few objective methods of afteroperational state analysis in patients with bleeding of different origin.

1. Veropotvelyan PN. Ovarian apoplexy: a new look at an old problem. Zdorov'e zhenshchiny 2011; (5): 144-147; 2. Kucheryna NS, Kozub Ml, Filipcov VI. Improvement of the laparoscopic treatment of ovarian apoplexy. Problemy suchasnoi' medychnoi' nauky ta osvity 2009; (2): 90-92; 3. Ter-Ovakimian АЙ, Orazmuradova LD. Reproductive health in females with previous ovarian apoplexy. Rossiysky vestnik akushera-ginekologa 2008; 8 (2): 41-43; 4. Gladchuk IZ, Lishhuk VD, Kozhakov VD, Jakymenko OV Optimization methods for diagnosis and surgical treatment of intraperitoneal bleeding ovarian origin. In: Modern aspects of military medicine: Scientific Papers of the Central Military Clinical Hospital IU Ukraine. Kyev: MVC «Medinform», 2006; 5. 5. ShitovaAV,YakimenkoAV. Laparoscopy with intraperitoneal bleeding in gynecology with reasonably large and massive blood loss. In: Challenges, achievements and prospects of biomedical sciences and healthcare: proceedings of the Crimean State University n.a. S. M. Georgievsky 2007. Vol. 143, part 3; с 179-182; 6. Gladchuk IZ, Vast'janov RS. State regulatory systems in patients undergoing moderate, large and massive intra-abdominal blood loss genital origin, depending on the compensation of the deficit in blood volume. Odes'kyj medychnyj zhurnal 2009; (1): 50-54; 7. Swire MN, Castro-Aragon I, Levine D. Varioussonographic appearances of the hemorrhagic corpus luteum cyst. Ultrasound Q 2004; 20 (2): 45-58; 8. Vandermeer FQ, Wong-You-Cheong JJ. Imaging of acute pelvic pain. Clin Obstet Gynecol 2009; 52 (1): 2-20; 9. Gladchuk IZ, Vast'janov RS, Rozmosh GV Application of heart rate variability as a diagnostic nespetsefychnoyi functional state regulatory systems in ovarian apoplexy. In: Challenges, achievements and prospects of biomedical sciences and healthcare: proceedings of the Crimean State University n.a. S. M. Georgievsky 2008. Vol. 144, part 3: 45-47.

2014_01_70-74.pdf293.41 KB

No votes yet