«Саратовский научно-медицинский журнал» » Архив номеров » Volume 6, issue 3 » Публикация

Аннотация The aim of this research is to study influence of cerebral perfusion pressure on the effectiveness of treatment of maternity patient in eclamptic coma. Fluctuation of average arterial pressure defines dynamics of the cerebral perfusion pressure. Active hypotensive therapy leads to reduction of cerebral blood flow, breaking perfusion balance of brain. The principal objective of treatment in eclamptic coma is to restore volemic indices by using stabizol, decrease of average arterial pressure (10-15% from the initial one), which is provided by magnesium sulfate and nimodipine. Providing the cerebral perfusion pressure above the level of 75 mm for maternity patient in eclamptic coma allowed to reduce lethality from 15,7 to 4,8%