METHOD FOR PREDICTION OF SEPSIS FOLLOWING CARDIOSURGICAL OPERATIONS PERFORMED IN CONDITIONS OF ARTIFICIAL BLOOD CIRCULATION

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to a method for prediction of sepsis following cardiosurgical operations performed in conditions of artificial blood circulation. Method is based on the fact that when the patient enters an intensive care unit after the operation with underlying risk factors for developing MOF – SOFA scale, acute blood loss, aortic clamping time more than 150 minutes, repeated operation, need for mechanical support before and after the main stage of operation, excess dosages of noradrenaline higher than 0.15 kg/kg/min, in the dynamics on the first, second and third critical day, the level of monocytic suppressor cells of myeloid origin (SCMO) is examined, and if the monocytic SCMO is increased on the third day by 50 % and more, exceeding the same value when compared to the initial control point of the first day, sepsis is predicted.;EFFECT: method provides the prediction of sepsis in the postoperative cardiac surgery patients under cardiopulmonary bypass conditions.;1 cl, 4 tbl, 2 ex