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Akutna Srceva Slabost
Akutna Srceva Slabost
(, ,
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ESC,2008
Killip
I
II
.
:
<50%
/ S3 .
III
>50%
, .
IV
1.
2..
3.
4.
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(afterload)
(preload)
( high output )
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(> 28)
.
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ja
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/ 2, -mode, Dopler
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<95%
.FiO2
CPAP
.
/
, Morfin
X k
+/- z
> 100
NTG, nitropruside
90- 100
< 90
/
(Dobutamin)
preload
,
(Dopamin)
:
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/
-
-
,
.
-
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-
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,
-
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Swan-Ganz-:
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Swan-Ganz- :
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y- 40
,
.. 30-60 + 2
Swan-Ganz-
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+2
+
+PEEP+
30 ..
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.+
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