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ISSN 2522-9028 (Print)
ISSN 2522-9036 (Online)
DOI: https://doi.org/10.15407/fz

Fiziologichnyi Zhurnal

is a scientific journal issued by the

Bogomoletz Institute of Physiology
National Academy of Sciences of Ukraine

Editor-in-chief: V.F. Sagach

The journal was founded in 1955 as
1955 – 1977 "Fiziolohichnyi zhurnal" (ISSN 0015 – 3311)
1978 – 1993 "Fiziologicheskii zhurnal" (ISSN 0201 – 8489)
1994 – 2016 "Fiziolohichnyi zhurnal" (ISSN 0201 – 8489)
2017 – "Fiziolohichnyi zhurnal" (ISSN 2522-9028)

Fiziol. Zh. 1999; 45(6): 12-19


The neoliguric form of the renal insufficiencyin the posthemorrhagic period

Yu. P. Spizhenko, A. V. Belyaev

    O.O. Bogomoletz National Medical University, Kiev


Abstract

At research of rules of deviations of the parameters homeostasis for patients with bleedings we pursued to find dependence of the parameters of homeostasis from function of kidneys. The researches were carried out in the early posthemorrhagic period on an example of inspection of the patients who were operated concerning gastrointestinal and intraabdominal hemorrhages. Is revealed, that the renal insufficiency, which arose at 23,21 % surveyed, proceeded without oliguria — in the neoliguric form. It was characterized by normal speed diuresis, despite of the essential damages of the function of nephrone: infringement of a primary filtration in glomerulus, reabsorption of water and electroytes in tubules, restriction of excretion Н+. Normal diuresis in such cases was explained by the early and duly beginning of the infusion therapy, owing to what, probably, the infringement of passableness tubules was prevented. Despite of it, the patients with the damaged function of kidneys require the careful control of spent therapy because of an opportunity of dangerous deviations of the parameters homeostasis of norm. Confirmation it became the reduction, fixed at such patients, clearаnce of electrolytes, infringement of the extraction of acid by kidneys.

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