Authors
Vandanov B.K.1, Shikhmetov A.N.2, Lebedev N.N.2, Zadikyan A.M.1, Nazarov V.A.1
1 MCHU Brach clinical and diagnostic center of PJSC Gazprom, Moscow
2 Institute for advanced training of physicians FGBU «NMSC named N.I. Pirogov» Ministry of Health of Russi, Moscow
Abstract
Presently large actuality was purchased by the problem of diagnostics and treatment of venous thromboembolics complications. In the article reasons of origin, diagnostics and treatment of complications, are analysed as it applies to ambulatory technologies acquiring all greater distribution. As illustration clinical supervisions over of two patients operated in the inpatien department of «one day», at that in an early postoperative period the cerebral developed and subendocardial to the ischemia are brought, what was assisted by a few physiopathology mechanisms among that one of basic was a hypercoagulative syndrome. Resulted to recommendation on diagnostics of hypercoagulative syndrome through the test of thrombodynamics, recommendation on treatment of developing. It is marked that absence of patients with heavy concomitant pathology, and also high-injuring operations in ambulatory-surgical practice on the whole does not reduce the danger of development of thrombogenic of vascular complications. To begin the prophylaxis of complications at the exposure of violations of hemostasis, testifying to the exposure of hypercoagulability it is necessary to the operation, for efficiency of prophylactic measures it is extremely important to conduct the laboratory monitoring of hemostasis. Implementation of the indicated recommendations in opinion of authors is able to bring down the risk of origin of complications, improve the results of surgical treatment of patients of ambulatory profile.
Keywords: thrombosis, venous thromboembolics complications, hypercoagulability, coagulogram; thrombodynamics, peroral anticoagulants.
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