THROMBOEMBOLISM OF PULMONARY ARTERIES IN CLINICAL PRACTICE
Abstract
The study of lethality from venous thrombo-embolic complications was done for three years by the results of pathological-anatomical examinations of 1764 patients. Age, sex, the season of the year, the main disease because of which the patient was in hospital, the dates of death since the moment of the patient getting to hospital, the sources of the initial thrombi formation, the changes in the pulmonary tissue, the level of obturation of pulmonary venous bed by embologenic masses were considered. It was found out that in 5.4% of the patients the cause of the death was venous thrombo-embolic complications: 0.8 per 1000 of population a year. The mean age of patients who died from thromboembolism of pulmonary artery is 58 years, by the sex parameter women dominated (58%). The structure of pathology because of which patients had the treatment in hospital is the following: postoperative period after multiprofile surgeries (31%), severe disorders of brain blood circulation (32%), multiprofile therapeutic pathology (37%). 20% of patients died from massive thromboembolism of pulmonary artery at the first day after it happened, 25% died in 2-7 days, 57% died at the 7th day or in several months. The source of the first thrombi formation in 52% of patients became venous sinuses of anticnemion, in 22% it was popliteus-thigh-iliac segment and low cava, in 10% these were the right compartments of heart, in 16% the source was not identified. In 2/3 of patients there was an acute obturation of the pulmonary trunk and of main branches of the pulmonary artery. The ways of prevention of the formation of venous thromboembolic complications and massive thromboembolism of the pulmonary artery in hospital patients of the Amur region were developed
About the Authors
Aleksandr P. Sakharyuk
Amur State Medical Academy
Russian Federation
Russian Federation
Vladimir V. Shimko
Amur State Medical Academy
Russian Federation
Russian Federation
Evgeniy S. Tarasyuk
Amur State Medical Academy
Russian Federation
Russian Federation
Artem N. Verevetinov
Amur State Medical Academy
Russian Federation
Russian Federation
Viktor G. Rapovka
Pacific State Medical University
Russian Federation
Russian Federation
Sergey A. Vavrinchuk
Postgraduate Institute for Public Health Workers
Russian Federation
Russian Federation
Aleksandr N. Emets
Blagoveshchensk City Clinical Hospital
Russian Federation
Russian Federation
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Review
For citations:
Sakharyuk A.P., Shimko V.V., Tarasyuk E.S., Verevetinov A.N., Rapovka V.G., Vavrinchuk S.A., Emets A.N. THROMBOEMBOLISM OF PULMONARY ARTERIES IN CLINICAL PRACTICE. Bulletin Physiology and Pathology of Respiration. 2015;(55):48-53. (In Russ.)
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