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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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Scientific source Bova A. A [etc.]. Field medical therapy. A practical work: studies. The grant / A.A.Bova [etc.]; under the editorship of A.A.Bova. - Minsk: BGMU, 2009 . - 178 with.. 2009

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