akutna srceva slabost

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-

(, , , , , , / , , , , ,

ESC,2008

Killip I II . : 50% , . /

III

IV

1. 3. 2.. 4.

- - ,

-

/

,

/ (afterload) (preload)

( high output )

a ,

. (> 28) .

/ ? ? . ? ja .

/ 2, -mode, Dopler

/ / /

/ . /

, ,

, , .FiO2 CPAP .

100 90- 100 < 90 preload , (Dopamin)

NTG, nitropruside

/ (Dobutamin)

: , /

- - , .

, , - , .

- /

, -

, , , : , , , , , , + Swan-Ganz-: ,

- . : , , , : , . , , Swan-Ganz- : ,

, , , y- 40 , .. 30-60 + 2 Swan-Ganz-

- . +2

+ +PEEP+ 30 .. + . .+ +

/