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.
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)
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=>
<18 mm/Hg.)
120-130ml= (EDV)
= (SV)
50-60 ml=
70ml
()
.
.
.
25% ( 1,5Lt)
.
.
,
.
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=>=..
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Ro =.. ()
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= !!!
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=.
=>
=>
( ).
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HK S1,q II,T III ,RBBB
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(
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O =
EI
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(
)
2 (,
,MA CPAP)
V 40-100 mg bolus
10 min 30 min.
<90 .
VENTURI,
( >100)
PER-OS(PENSORDIL),SPRAY,NITROGLYCERIN 5-10g/min /5 min.
,
0,25g/kg/min
2- 2,5-5 mg (AEROLIN)
( ,ATROVENT)
.
.
=> IV 2,5 mg/kg/min
= >10
mg/kg/min
<3 mg/kg/min
,
swan-Ganz.
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2
1.
2.
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=>
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--
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(LASIX)=> HENLE,
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(HYGROTON)=> ,
.
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.
I . 50%
, &
. , 1-2
, 5
3 (NHS I, II HPFS) -2
, 20-45%.
22 , 143.153
30%.
.
:
1)
2) > 4 mEq/L
3)
.
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5.
6.
7.
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DOWNREGULATION)
.
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(<35%+)
-+-
( NYHA II)
- 2 +-
+ +
!!!
( NYHA II)
--- - + -
( NYHA IV)
A-MEA---
=>
!!!
(
30 mm/Hg).
,
Swan-Ganz
,
.
24-48 (120-400mg)
10-15 mm/Hg
IV PER-OS , .
.
<15mm/Hg
.
.
10-15 mm/Hg=>
Swan-Ganz .
>10-15 mm/Hg
.
2014
2014
75
SO2=78%,=110/90 mm/Hg,
HK= 155 Bpm,
=, 2
=
.
.
.1/2 AMP DIGOXIN IV - - PER-OS - 3 P LASIX IV
B. 1/2 AMP DIGOXIN IV - - PER-OS - 1 AMP LASIX IV
.1 AMP DIGOXIN 1 AMP ANGORON - PER OS 1 MP LASIX
.1 AMP DIGOXIN 3 AMP LASIX -1 AMP ANGORON
E.3 AMP LASIX -
LASIX
20%
. 35%
.
( 20%)
.
(DIGOXIN) (ANGORON)
35%
3 P LASIX
( LASIX)
TOTE H ARREST.