Authors
Zubrickij V.F.1, Levchuk A.L.2, Rozberg Е.P.1, Martirosyan K.V.1, Vasin V.S.1, Bytdaev Z.M.1
1 Institute of medical and social technologies, Moscow state University of food production, Moscow
2 Federal State Public Institution «National Medical and Surgical Center named after N.I. Pirogov» of the Ministry of Healthcare of the Russian Federation
Abstract
The results of clinical application of modern methods of prevention of venous thromboembolic complications in 109 patients with injuries of the musculoskeletal system are analyzed. The study used Doppler ultrasound with color Doppler mapping, radiopaque venography (retrograde ilocavore), hemostatic study. Preventive measures included the use of mechanical methods, pharmacological prevention using heparins of different molecular weight. With the development of embolus thrombosis to prevent pulmonary embolism, the victims underwent endovascular interventions with the installation of a cava filter.
The analysis showed the effectiveness of preventive measures in patients with proximal femoral fractures from the first day of hospital stay, allowing to reduce the incidence of thromboembolic complications.
Keywords: phlebothrombosis, hemostasis, prevention.
References
1. Baluda VP, Baluda MV, Gol’dberg AP, et al. Pretromboticheskoe sostoyanie. Tromboz i ego profilaktika. Moscow: Zerkalo-M; 1999. 297 p. (In Russ).
2. Barkagan ZS, Momot AP. Diagnostika i kontroliruemaya terapiya narushenii gemostaza. Moscow: N’yudiamed; 2001. 286 p. (In Russ).
3. Bokarev IN. Trombozy, gemorragii, DVS-sindrom. Problemy lecheniya. In: Materialy V Vserossiiskoi konferentsii. Moscow; 2000. pp. 39–43. (In Russ).
4. Zamyatin MN, Stoiko YuM, Vorob’ev AV. Profilaktika venoznykh trombozov u statsionarnyh bol’nykh. Consilium medicum. 2006;8(11):95–100. (In Russ).
5. Zubrickii VF, Shchelokov AL, Vardanyan AV, Nikolaev KN. Sovremennye metody profilaktiki tromboembolii legochnoi arterii. Angiology and vascular surgery. 2005;11(S2):132–134. (In Russ).
6. Zubritsky VF, Kozlov YuA. Infectious complications during large joint replacement. Bulletin of Pirogov National Medical & Surgical Center. 2012;7(1):95–100. (In Russ).
7. Kuz’min II. Metodologicheskie osnovy profilaktiki i lecheniya oslozhnenii pri endoprotezirovanii tazobedrennogo sustava. [dissertation abstract] Moscow; 2010. (In Russ).
8. Savel’ev VS. Posleoperatsionnye venoznye tromboembolicheskie oslozhneniya: fatal’naya neizbezhnost’ ili kontroliruemaya opasnost’? Khirurgiya. 1999;(6):60–63. (In Russ).
9. Stoiko YuM, Zamyatin MN. Sovremennye vozmozhnosti profilaktiki tromboembolicheskikh oslozhnenii u patsientov s vysokim i ochen’ vysokim riskom. Consilium Medicum. 2007;(2):40–43. (In Russ).
10. Shevchenko YuL, Stoiko YuM, Lytkin MI. Osnovy klinicheskoi flebologii. Moscow: Meditsina; 2005. 384 p. (In Russ).
11. Shevchenko YuL, Stoiko YuM, Zamyatin MN. Profilaktika tromboembolicheskih oslozhnenii v travmatologii i оrtopedii. Consilium medicum. 2008;(2):72–76. (In Russ).
12. American Academy of Orthopaedic Surgeons. Primary total hip and total knee arthroplasty projections to 2030. Rosemont, IL: American Academy of Orthopaedic Surgeons; 1998.
13. Lentino JR. Prosthetic joint infections: bane of orthopedists, challenge for infectious disease specialists. Clin Infect Dis. 2003;36(9):1157–1161. doi: 10.1086/374554.
