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Sindrom de detresă respiratorie acută la lăuză cu multiple complicaţii pulmonare şi extrapulmonare (caz clinic)

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dc.contributor.author Cojocaru, Victor
dc.contributor.author Eţco, Ludmila
dc.contributor.author Stasiuc, Violeta
dc.contributor.author Bejinaru, Sergiu
dc.contributor.author Iaroşevici, Tatiana
dc.contributor.author Curajos, Tatiana
dc.contributor.author Gaidăi, Natalia
dc.contributor.author Moşneaga, Liliana
dc.contributor.author Radulov, Petru
dc.contributor.author Marcenco, Iurie
dc.contributor.author Osman, Victor
dc.contributor.author Levcenco, Petru
dc.date.accessioned 2020-06-02T16:12:42Z
dc.date.available 2020-06-02T16:12:42Z
dc.date.issued 2011
dc.identifier.citation COJOCARU, Victor, EŢCO, Ludmila, STASIUC, Violeta, et al. Sindrom de detresă respiratorie acută la lăuză cu multiple complicaţii pulmonare şi extrapulmonare (caz clinic). In: Arta Medica. 2011, nr. 1(44), pp. 70-76. ISSN 1810-1852. en_US
dc.identifier.issn 1810-1852
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/10093
dc.description IMSP ICŞOSM şi C, IMSP Institutul de Ftiziopneumologie „Chiril Draganiuc”, clinica Otorinolaringologie, Spitalul Clinic Republican en_US
dc.description.abstract Este prezentat un caz clinic la o pacientă de 36 de ani cu sindromul de detresă respiratorie acută, complicat cu pneumomediastinum şi şoc cardiogen cauzat de tamponada extrapericardică aeriană a cordului. Pneumomediastinumul s-a rezolvat în 4 zile. Şocul cardiogen a cauzat insuficienţa renală acută şi sindromul de CID, care la rândul lor au provocat apariţia tromboemboliei arterei pulmonare (în a 11-a zi de tratament) şi stare de coma I. Tromboembolia arterei pulmonare a agravat enorm insuficienţa respoiratorie acută, necesităţile de oxigen au crescut până la maximum. Introducerea surfactantului exogen (în a 16-a zi de tratament) a fost un moment crucial în tratamentul insufucienţei respiratorie acute la pacienta discutată, după care necesităţile de oxigen au scăzut esenţial. În a 20-a zi de tratament faza oligurică a insuficienţei renale acute a trecut în faza poliurică, care a durat 9 zile. În a 7-a zi după restabilirea diurezei adecvate a fost înregistrat un paroxism de tahicardie sinusală până la 200 b/min, care a fost stopat cu succes. Statutul neurologic s-a normalizat aproape complet, însă dereglările de deglutiţie au durat până în a 42-a zi de tratament. După 58 de zile de tratament pacienta a fost externată la domiciliu. ro
dc.description.abstract We present a clinical case of a 36-year old woman with Adult respiratory Distress Syndrome, which was complicated with pneumomediastinum and cardiogenic shock because of the extrapericardiac air tamponation of the heart. The pneumomediastinum was resolved in 4 days. Cardiogenic shock provoked acute renal failure with oliguria and DIC syndrome, which caused acute pulmonary embolism (at the 11-th day of the treatment) and neurological aggravation up to coma I. Acute pulmonary embolism changed for the worse pre-existent acute respiratory failure, and the oxygen requirement increased to maximum. An exogenous pulmonary surfactant administration (at the 16-th day of the treatment) was the crucial decision in the management of acute respiratory failure at the discussed patient, because after that the oxygen requirement have considerably decreased. At the 20-th day of treatment oliguria has passed in poliuria, which lasted 9 days. In 7 days after the diuresis normalisation, a paroxysmal sinus tachycardia with heart rate 200 was observed and successfully stopped. Neurological status was nearly completely normalised, but swallowing infringement was observed till 42 day of treatment. After 58 days of treatment the patient was sent home. en
dc.language.iso ro en_US
dc.publisher Asociaţia chirurgilor “Nicolae Anestiadi” din Republica Moldova en_US
dc.subject.mesh Case Reports en_US
dc.subject.mesh Respiratory Distress Syndrome, Adult--diagnosis en_US
dc.subject.mesh Respiratory Distress Syndrome, Adult--physiopathology en_US
dc.subject.mesh Respiratory Distress Syndrome, Adult--complications en_US
dc.subject.mesh Pregnancy Complications en_US
dc.subject.mesh Shock, Cardiogenic en_US
dc.subject.mesh Shock, Cardiogenic en_US
dc.subject.mesh Shock, Cardiogenic en_US
dc.subject.mesh Shock, Cardiogenic en_US
dc.subject.mesh Respiratory Insufficiency en_US
dc.title Sindrom de detresă respiratorie acută la lăuză cu multiple complicaţii pulmonare şi extrapulmonare (caz clinic) ro
dc.title.alternative Adult respiratory distress syndrome with multiple pulmonary and extrapulmonary complications in the postpartum period: a case report en_US
dc.type Article en_US


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