disturbances of a metabolism and vodno-elektrolitYonogo balance
Character of disturbances of a metabolism and vodno-ELECTROLYTIC balance at a burn disease is presented to tab. 53.
Table 53
Metabolism changes at a burn disease
Metabolism | Changes |
Proteometabolism | 1. Negative nitric balance 2. A hypoproteinemia 3. A disproteinemia (increase scale - globuliyonovoj fractions) 4. Rising ostrofazovyh fibers |
Carbohydrate metabolism | 1. A hyperglycaemia, a glucosuria; 2. A hypoglycaemia (in the attrition period). |
Fatty exchange | 1. gipertriglitseridemija, rising in plasma of the maintenance of fat acids 2. gipolipidemija, a hypochilesterinemia (in peyoriode a sepsis and attrition) |
Vodno-electrolytic exchange | 1. A burn shock: - Extracellular and cellular dehydration; - Hyperpotassemia in a blood plasma; - Metabolic acidosis. 2. A burn toxemia: - Hypopotassemia, - Hypernatremia in a blood plasma; - Cellular dehydration, extracellular giperyogidratatsija; - Metabolic acidosis, respiratory alkalosis. 3. A septicopyemia: - Extracellular dehydration, - Intracellular overhydratation; - Hypopotassemia, hyponatremia in a blood plasma; - The admixed acidosis. |
4.3.
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