АУЫР БАС-МИ ЖАРАҚАТЫ БАР НАУҚАСТАРДЫ ЕМДЕУДЕГІ ЗАМАНАУИ БАҒЫТТАР. ӘДЕБИЕТТІК ШОЛУ
Өзектілгі: Ауыр бас ми жарақаты кезіндегі интенсивті терапия жүргізу – бас миын қорғау мен оның қызметтерін сақтап қалуға бағытталған шаралар жиынтығы. Бұл жағдайларда алдыға қойған мақсатқа жету үшін бассүйек ішілік қысым мен церебралды перфузионды қысымның аса маңызды көрсеткіштерін уақытылы анықтап, мониторинг жасау қажет; сондай-ақ науқастарға патогенез тұрғысынан негізделген терапия және нутритивті қолдау қажет.
Мақсаты: Шолудың негізгі мақсаты ауыр бассүйек-ми жарақаты кезінде церебральді және бассүйек ішілік қысымды, ісінуге қарсы терапия, ми гипотермиясы және қоректік демеуді бақылау болып табылады.
Материалдар мен әдістеро: біз 1970-2018 жылдар аралығындағы PubMed, Cochrane Library және Scopus басылымдарында жарық көрген, жоғарыда аталған мақсаттардың қосу критерийлеріне сәйкес келетін барлық жұмыстарды зерттедік.
Қорытындылар мен нәтижелер: Берілген тақырып ауқымы кіші маманданған, нейрореанимацияның көрсетілген бөлімдерінде сапалы зерттеулер жеткіліксіз болып табылады. Аталған тақырыптар бойынша қосымша сапалы зерттеулер жүргізілуі тиіс.
Марат К. Сыздыкбаев 1, https://orcid.org/0000-0002-0561-4111
Марат B. Темиргалиев 1, https://orcid.org/0000-0001-8151-8538
Александр А. Проказюк 1, Антон Шейнин 2,
Дайлет С. Токенов 1, Адлет М. Мамаев 1
1 «Семей медицина университеті» КеАҚ Университеттік госпиталь,
Семей қ., Қазақстан Республикасы;
2 Тель-Авив Университеті, Сагол ат. Нейробиологияның мектебы, Тель-Авив қ., Израиль.
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