A case of successful intensive care for a patient with recurrent non6massive pulmonary embolism
https://doi.org/10.18093/0869-0189-2015-25-6-743-746
Abstract
Despite recent significant advances thromboembolic complications remain a great problem as the main cause of death and disability of patients in the Russian Federation. Deep vein thrombosis of the lower limbs is the main cause of pulmonary embolism with asymptomatic to fatal clinical course. A particular problem is recurrent nonmassive pulmonary embolism. At the same time more than half of venous thrombotic episodes are asymptomatic and diagnosed later, when complications, such as pulmonary embolism or chronic venous insufficiency, develop. Commonly, the first diagnosis of these complications is made on autopsy. A clinical observation of successful intensive care for a patient with recurrent nonmassive pulmonary embolism is described in this article.
About the Authors
D. V. Sadchikov
V.I.Razumovskiy Saratov State Medical University, Healthcare Ministry of Russia: 112, Bol. Kazach'ya str., Saratov, 410012, Russia
Russian Federation
Russian Federation
MD, Professor, Head of Department of Emergency and Intensive Care, V.I.Razumovskiy Saratov State Medical University, Healthcare Ministry of Russia; Honorary Physician of Russia; Honoured Master of Sciences of Russia; tel.: (452) 569362
A. Yu. Bogorodskiy
V.I.Razumovskiy Saratov State Medical University, Healthcare Ministry of Russia: 112, Bol. Kazach'ya str., Saratov, 410012, Russia
Russian Federation
Russian Federation
Assistant Lecturer at Department of Emergency and Intensive Care, V.I.Razumovskiy Saratov State Medical University, Healthcare Ministry of Russia; tel.: (452) (452) 569362
E. E. Zeulina
V.I.Razumovskiy Saratov State Medical University, Healthcare Ministry of Russia: 112, Bol. Kazach'ya str., Saratov, 410012, Russia
Russian Federation
Russian Federation
Assistant Lecturer at Department of Emergency and Intensive Care, V.I.Razumovskiy Saratov State Medical University, Healthcare Ministry of Russia; tel.: (452) 527736
References
1. Goldhaber S.Z. Evolving concepts in thrombolytic therapy for pulmonary embolism. Chest. 1992; 101 (4): 183–185.
2. Yakovlev V.B., Yakovleva M.V. Venous thromboembolic complications: diagnosis, treatment, and prevention. Rossiyskie meditsinskie vesti. 2002; 2: 4–18 (in Russian).
3. Torbicki A., Perrier A., Konstantinides S. Guidelines on the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology. Eur. Heart J. 2008 (29): 2276–2315.
4. Morris T.A., Marsh J.J., Chiles P.G. High prevalence of dysfibrinogenemia among patients with chronic thromboembolic pulmonary hypertension. Blood. 2009; 114: 1929–1936.
5. Savel'ev V.S., Yablokov E.G., Prokubovskiy V.I. Endovasculat catheterassisted vena cava inferior thrombectomy. Angiologiya i sosudistaya khirurgiya. 2000; 6 (1): 61–71 (in Russian).
6. Rodger M., Wells P.S. Diagnosis of Pulmonary Embolism. Thromb. Res. 2001 103: 225–238.
7. Li J.H., Safford R.E., Aduen J.F. Pulmonary hypertension and thyroid disease. Chest. 2007; 132: 793–797.
8. Hsu J.T., Chu C.M., Chang S.T. Prognostic value of arterial / alveolar oxygen tension ratio (a/APO2) in acute pulmonary embolism. Circ. J. 2007; 71: 1560–1566.
Review
For citations:
Sadchikov D.V., Bogorodskiy A.Yu., Zeulina E.E. A case of successful intensive care for a patient with recurrent non6massive pulmonary embolism. PULMONOLOGIYA. 2015;25(6):743-746. (In Russ.) https://doi.org/10.18093/0869-0189-2015-25-6-743-746
Views:
1459
Email this article 