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560294 Comments
HenryVot
Выбор формата определяется рисками, а не удобством «по настроению». Домашний выезд или амбулаторный приём уместны при устойчивых показателях: нет упорной рвоты, высокой температуры, выраженной дезориентации, резких «качелей» АД/пульса, признаков обезвоживания с угрозой судорог. В таких условиях один визит часто закрывает задачу: инфузия по показаниям, правила воды и сна, окно связи и утренний контроль. Если картина «по краю» — сочетание лихорадки, рвоты, кардиальных жалоб, второй бессонной ночи и выраженного тремора — рациональнее краткая стационарная стабилизация на 24–48 часов под круглосуточным наблюдением. На бумаге staционар дороже одного выезда, но в реальности он короче и надёжнее: дефициты закрываются быстрее, дозы подбираются точнее, а первая ровная ночь наступает предсказуемо. В любом сценарии анонимность неизменна: закрытые каналы связи, визиты без маркировки, приёмы без пересечений с другими пациентами.
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