[Optimization of the infusion therapy in patients with diabetic hyperglycemic ketoacidosis coma]

The clinical efficiency and comparative analysis of the infusion schemes are defined for patients with diabetic hyperglycemic ketoacidosis coma (DHKC) on the basis of integral scales of the severity status of patients as well as on the basis of an intensity of multiple organ failure. According to the study results, a choice of an infusion scheme made with due respect to a patient's severity condition ensures a timely support to the systemic hemodynamics, circulating blood volume, concentration of the main osmolar components and to the colloid-oncotic pressure. The infusion schemes, which are a basis for intensive care of the DHKC patients, balanced both qualitatively and quantitavely, contribute to the prevention of multiple organ failure and significantly cut the lethality rate.