nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2018-7-4-341-348nmp-535Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSГипергидратация у обожженных: современное состояние вопросаHyperhydration in Burn Patients: the Current State of the Issuehttps://orcid.org/0000-0001-7070-8512СпиридоноваТ. Г.SpiridonovaT. G.

Спиридонова Тамара Георгиевна научный - консультант отделения острых термических поражений.

129090 Москва, Б. Сухаревская пл., д. 3

Spiridonova Tamara Georgiyevna - Dr. Med. Sci., Scientific Consultant of the Department of Acute Thermal Lesions.

3 Bolshaya Sukharevskaya Square, Moscow 129090

SpiridonovaTG@sklif.mos.ruhttps://orcid.org/0000-0002-9862-0229ЖирковаЕ. А.ZhirkovaE. A.

Жиркова Елена Александровна - научный сотрудник отделения острых термических поражений.

129090 Москва, Б. Сухаревская пл., д. 3

Zhirkova Elena Aleksandrovna - Cand. Med. Sci., Researcher of the Department of Acute Thermal Lesions.

3 Bolshaya Sukharevskaya Square, Moscow 129090

https://orcid.org/0000-0002-4895-2444БорисовИ. Г.BorisovI. G.

Борисов Илья Григорьевич - врач отделения реанимации и интенсивной терапии для ожоговых больных.

129090 Москва, Б. Сухаревская пл., д. 3

Borisov Ilya Grigoriyevich - Physician of Department of Resuscitation and Intensive Care for Burn Patients.

3 Bolshaya Sukharevskaya Square, Moscow 129090

ГБУЗ НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. МосквыРоссияN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare DepartmentRussian Federation20182901201974341348Copyright © Спиридонова Т.Г., Жиркова Е.А., Борисов И.Г., 20192019Спиридонова Т.Г., Жиркова Е.А., Борисов И.Г.Spiridonova T.G., Zhirkova E.A., Borisov I.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/535

В статье представлено современное состояние проблемы гипергидратации у обожженных в результате избыточного объема инфузионной терапии на протяжении острого периода ожоговой болезни. Приведены сведения о патогенезе ожоговой болезни и стандартных формулах для определения объема инфузионной терапии при ожоговом шоке. Изложены данные о механизмах и клинических проявлениях гипергидратации у пострадавших с ожогами и современные способы ее коррекции. Поскольку опасность гипергидратации сохраняется и после шока в остром периоде ожоговой болезни, предложен способ определения базового объема инфузионной терапии в послешоковом периоде. Разработанный алгоритм эффективен для профилактики гипергидратации у обожженных и защищен патентом на изобретение.

The article presents the current state of hyperhydration issue in burn patients as a result of excess volume of infusion therapy during the acute period of burn disease. We report the data on the pathogenesis of burn disease and standard formulas for determining the volume of infusion therapy in case of burn shock, mechanisms and clinical manifestations of hyperhydration in burn patients and modern methods of its management. Since the danger of hyperhydration persists even after a shock in an acute period of burn disease, a method is proposed for determining the baseline volume of infusion therapy in the post-shock period. The developed algorithm is effective for prevention of hyperhydration in burn patients and covered by an invention patent.

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The authors declare that there are no conflicts of interest present.