Выбор шкалы оценки тяжести состояния детей при кардиохирургических операциях

Аннотация

The assessment of status severity of the perioperative period of the cardiac surgery operations was investigated the children with the diagnostic scales APACHE-II, APACHE-III, SAPS-II, 67 children were with "blue" and "pale" defects before connecting to the device of CBM and after disconnecting. It is found that most of the indicators of the diagnostic systems АРАСНЕ-II, АРАСНЕ-III, SAPS-II objectively reflect the changes proceeding before connecting the patient to the CBM, when the state of the patients changes according to the dynamics of the pathological process, with a direct correlation between the severity of patients before connecting to CBM expressed in points of the investigated scales and with the mortality. It is found that the diagnostic system APACHE-III most accurately characterizes the severity of the condition of children with acute blood loss, before connecting to the CBM, and can use to assess the dynamics of the severity of the children states in the stages of cardiac surgery operations and intensive therapy.