DISASTER MEDICINE No. 2(102)•2018
ASSESSMENT OF WATER BALANCE OF ERYTHROCYTES AGAINST THE BACKGROUND OF THEIR VOLUME INCREASE WITHIN SHORT PERIODS OF TIME IN CRITICAL CONDITIONS
Solomennikov A.V.1, Umerov A.Kh.2, Tyukavin A.I.1, Arseniev N.A. 3, Demenko V.V.2
1 Federal State Budgetary Institution “V.A.Almazov National Medical Research Center” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation
2 The Federal State Budgetary Institution “All-Russian Centre for Disaster Medicine “Zaschita” of Health Ministry of the Russian Federation, Moscow, Russian Federation
3 State budget-funded educational institution of high professional education “Saint Petersburg state chemical and pharmaceutical University”, St. Petersburg, Russian Federation
A laboratory examination was carried out of 151 patients, which included the definition of indicators of clinical analysis of blood and electrolytes. Based on the analysis of the results of them, it was found that an increase in the specific fluid content in the erythrocyte may accompany an adaptive reaction and is associated with an increase in the content of hemoglobin and selective accumulation of fluid in it. It follows the appearance of disorders of water-electrolyte balance, of metabolism and regulatory relations. This, apparently, should be considered as a sign of pathological hyperhydration of red blood cells, which requires appropriate correction. Highly significant differences in the changes in the structure of clinical blood analysis in the formation of these conditions make it possible to create and practically apply an integral method of their evaluation, of diagnosis of typical pathological process with hemogram in conditions of limited technical equipment. This is important in emergency situations, especially for the departments of anesthesiology and resuscitation in zones of emergency.
Key words: clinical blood analysis, critical conditions, diagnosis, emergency situations, integral method, red blood cells, water balance
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