Возможные исходы лечения ОРДС

Госпитальная летальность у пациентов с ОРДС во мно- гом зависит от основного заболевания и составляет для ОРДС легкой степени 25—35%, для среднетяжелого ОРДС 40—50% и для тяжелого ОРДС 46—60% [24,372—375].

В течение от полугода до 2-х лет после выписки из ОРИТ у пациента, перенесшего ОРДС, нарушены другие функции (мышечная сила, физическая активность) [376]. По сравне- нию с бывшими пациентами хирургических ОРИТ без ОРДС стандартная реабилитационная терапия в течение раннего восстановительного периода после критического состояния не показывает значимых улучшений физической выносли- вости и силы. Более того, часть пациентов также страдает от депрессии (26—33%), тревоги (38—44%) или посттравма-

тического расстройства психики (22—24%). В целом уровень физической активности и функциональной автономности после перенесенного ОРДС снижен по сравнению с пациен- тами, перенесшими критическое состояние без ОРДС. Об- щее качество жизни у пациентов, перенесших ОРДС, зна- чительно снижено по сравнению с похожими пациентами, не перенесшими ОРДС [376]. Около 50% пациентов, пе- ренесших ОРДС, могут вести нормальный или почти нор- мальный образ жизни [377—380].

У больных с ОРДС механика внешнего дыхания возвра- щается к норме в течение 1 года после выписки из клиники. Снижение диффузионной способности, увеличение мерт- вого пространства при физических нагрузках, а также ле- гочная гипертензия могут сохраняться длительно [379, 380].

Условия оказания медицинской помощи

Медицинская помощь, регламентируемая данным про- токолом, осуществляется в условиях стационара. Профиль — анестезиолого-реанимационный. Функциональное назна- чение медицинской помощи — лечебно-диагностическая.

Кодирование по номенклатуре медицинских услуг

Кодирование по номенклатуре медицинских услуг, согласно приказа Министерства здравоохранения РФ от 13.10.17 №804н «Об утверждении номенклатуры меди- цинских услуг».

 

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