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Keywords: a hemorrhage, an oligemia, a hypovolemic shock, downstroke of volume of a circulating blood, a collapse, a shock, gemorragija, a bleeding, physiopathology of an acute and chronic hemorrhage
Infringements of a circulation at an oligemia (an acute hemorrhage, mechanisms of development)
Key concepts
- Gemorragija (haemorrhagia, broken through) - one of forms of distresses of the aboriginal circulation, consisting in an output of a blood from a lumen of pots in tissues (hemorrhage) or in environment (bleeding) as a result of damage or risings of a permeability of a vascular wall.
- the Hemorrhagic shock (haemorrhagicus, choc) - it is acute educing, pathological process menacing to life in which basis the serious form of acute cardiac and vascular failure in reply to action of an acute massive hemorrhage lays.
- the Collapse (collapsus - subitaneously to drop) - it is acute the educing vascular failure described by falling of vascular tone and a degrowth of the circulating blood; shows sharp downstroke arterial and a venous pressure, attributes of a hypoxia of a brain and oppression of the vital functions of an organism.
Educational elements
I. Infringements of a circulation at an acute hemorrhage
- an etiology of an acute hemorrhage
- value of volume of a hemorrhage
- pathophysiological mechanisms of development to an acute hemorrhage
- the general protective - adaptive reactions at an acute hemorrhage
- systemic compensator reactions at an acute hemorrhage
- pathological reactions at an acute hemorrhage
- pathophysiological principles of therapy of an acute hemorrhage
II. An etiology of an acute hemorrhage
- damage of blood vessels
- pathological labors
- traumatic damage of parenchymatous organs
- a varicose phlebectasia of an esophagus
- a peptic ulcer of a stomach and a duodenum
III. Value of volume of a hemorrhage
- 10 % from volume of a circulating blood
- 20 % from volume of a circulating blood
- 30 % from volume of a circulating blood
- 50 % from volume of a circulating blood
IV. Pathophysiological processes at an acute hemorrhage
- mechanisms of development of loss of a blood plasma
- mechanisms of development of a hemorrhage
- mechanisms of development of a hypoxia
- mechanisms of development of an oligemia
- mechanisms of development of a pain set of symptoms
- mechanisms of development of a toxemia
V. The general protective - adaptive reactions at an acute hemorrhage
- an activation of function of a bark of the big hemispheres of a brain
- intensifying of function of system a hypothalamus - a pituitary body - paranephroses
- an activation of function of sympatic system
- an activation of a metabolism
VI. Systemic compensator reactions at an acute hemorrhage
- respiratory responses
- rising of alveolar ventilation
- augmentation of depth of respiration
- intensifying of a respiration rate
- haemodynamic reactions
- a spastic stricture of peripheric pots
- a tachycardia
- augmentation of cardiac outlier
- centralization of a circulation
- regeneration of volume of a circulating blood
- gemicheskie reactions
- intensifying of an erythrogenesis and a leukopoiesis
- ascending gemokoaguljatsionnogo potential
- regeneration of proteins of a blood plasma
- metabolic reactions
- a hyperlipemia
- a hyperglycemia
- augmentation of amount of proteins
- intensifying of histic respiration
- rising of formation of high-energy Natrii phosphases
VII. Pathological reactions at an acute hemorrhage
- infringement of integrative function of a brain
- depression of a CNS
- distresses of consciousness, intellection
- development of an encephalopathy
- a respiratory distress, " shock mild "
- a periodic breathing
- the miocardial form of a heart failure
- downstroke of cardiac outlier
- a hypotension
- decrease of volume of a circulating blood
- decrease of venous return of a blood
- a pathological deposition of a blood
- distresses of microcirculation
- a slajdzh-set of symptoms
- the DVS-SET OF SYMPTOMS
- microclottages
- metabolic distresses
- gipoergoz
- an acidosis of damage
- an endointoxication
- an autoinfection
- a tsirkuljatorno-anemic hypoxia
- an acute posthemorrhagic anemia
- renal failure, " a shock nephros "
- hepatic failure
VIII. Pathophysiological principles of therapy of an acute hemorrhage
- regeneration of volume of a circulating blood
- a hemotransfusion and blood substitutes
- use of a method of a hyperbaric oxygenation
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Keywords: a hemorrhage, an oligemia, a hypovolemic shock, downstroke of volume of a circulating blood, a collapse, a shock, gemorragija, a bleeding, physiopathology of an acute and chronic hemorrhage
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