axalSobilTa respiratoruli distres sindromi
axalSobilTa respiratoruli distres sindromi
axalSobilTa respiratoruli distres sindromi
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viTardeba maRali intraTorakaluri wnevis Sesaqmnelad filtvis<br />
naklebad Wimvadi ubnebis gaSlis mizniT.<br />
⇒ centraluri cianozi<br />
Tu axalSobils aReniSneba 2 an meti zemoaRniSnuli niSani mas aqvs<br />
<strong>respiratoruli</strong> <strong>distres</strong>i.<br />
Rrma dRenaklulebs SeiZleba damatebiT ganuviTardeT apnoe da/an hipoTermia.<br />
filtvebis auskultaciiT SesaZlebelia gamoxatuli iyos sveli xixini an<br />
Sesustebuli sunTqva.<br />
<strong>respiratoruli</strong> <strong>distres</strong>is simZimis Sefaseba tardeba daunsis Skalis<br />
mixedviT. mocemuli Skala gamoiyeneba ara mxolod rds, aramed sxva geneziT<br />
ganpirobebuli <strong>respiratoruli</strong> <strong>distres</strong>is Sefasebis drosac.<br />
qula<br />
0 80 an<br />
apnoe<br />
<strong>respiratoruli</strong> <strong>distres</strong>is simZimis klinikuri Sefaseba<br />
J. Downes-is da Tanaavtorebis mixedviT<br />
cianozi<br />
ar vlindeba 21% O2is<br />
fonze<br />
ixsneba 40% O2- is<br />
fonze<br />
saWiroebs<br />
oqsigenoTerapias<br />
maRali koncentraciis<br />
JangbadiT O O2-<br />
>40%<br />
mkerdis<br />
Zvlis<br />
retraqcia<br />
Aara ara<br />
zomieri<br />
Zlieri<br />
Eeqspiraciuli<br />
xmauri<br />
Mmoismineba<br />
stetoskopiT<br />
Mmoismineba<br />
manZilidan<br />
(stetoskopis<br />
gareSe)<br />
Afiltvis<br />
auskultaciuri<br />
monacemebi<br />
pueruli<br />
sunTqva<br />
sunTqva<br />
Secvlili an<br />
Sesustebulia<br />
sunTqva tardeba<br />
cudad<br />
• 1-3 qula _ msubuqi <strong>respiratoruli</strong> <strong>distres</strong>i (minimaluri <strong>distres</strong>i)<br />
• 4-6 qula _ saSualo simZimis <strong>respiratoruli</strong> <strong>distres</strong>i (zomieri <strong>distres</strong>i)<br />
• 7 qula da meti _ mZime <strong>respiratoruli</strong> <strong>distres</strong>i<br />
janmos mier mowodebulia <strong>respiratoruli</strong> <strong>distres</strong>is simZimis Sefasebis<br />
Semdegi sqema 10 :<br />
sunTqvis sixSire wuTSi gulmkerdis retraqcia<br />
an eqpiraciuli xmianoba<br />
klasifikacia<br />
> 90 gamoxatulia mZime rd<br />
> 90 ar aris saSualo simZimis rd<br />
60-90 gamoxatulia saSualo simZimis rd<br />
60-90 ar aris msubuqi<br />
7
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