[Changes in the rheologic properties of blood in septic shock]

Results of examination of rheological properties of blood in 62 patients with septic shock of peritoneal etiology are presented. The control group included 50 patients with diffuse peritonitis without manifestations of septic shock. In patients with favourable outcomes of the disease septic shock was accompanied by the development of the high blood viscosity syndrome of the IInd degree or low blood viscosity syndrome of the Ist degree when microcirculatory and thrombohemorrhagic complications were of a reversible character. Irreversible septic shock was associated with the low blood viscosity syndrome of the IInd degree with a developing hypocoagulopathy of consumption when the therapeutic methods failed to correct rheological and microcirculatory disorders. Attention is called to differentiated approach to the treatment with special reference to the degree and phase of the rheological disorders.