| 摘要 |
FIELD: medicine. ^ SUBSTANCE: invention relates to medicine, namely to anesthesiology and reanimatology, and can be used for post-anesthesia managing of patients. Immediately after operation essential indices are determined in complex: severity of patient's state by APACHE III (A) scale, reduction of average arterial pressure during anesthesia from pre-operation level (öAP), reduction of saturation of venous blood hemoglobin with oxygen during anesthesia lower than 65% (öSvO2), central temperature at the moment of anesthesia termination (T), operation volume (O). Basing on description table 1 each index is given corresponding points: öAP=02, öSvO2=02, 0=14, criteria A and T are taken into account by absolute values. After that by formula PC=0.0518*A+1.51*"öÉö"+1.024*ASvO2-0.04*T+1.67*O, prognostic coefficient (PC) is determined. If PC value is lower than 3.3 duration of recovery during 1 hour is predicted, if PC= 3.4-6.4 duration of recovery longer than 1 hour and to 6 hours is predicted, if PC= 6.5-9.3 duration of recovery longer than 6 hours is predicted, and if PC is greater than 9.3 duration of recovery longer than 9 hours is predicted. ^ EFFECT: method allows to increase self-descriptiveness and reliability of detecting possible states after long operative interventions. ^ 5 tbl, 4 ex |
