Острый тромбоз бедренно-подколенного сегмента, осложнившийся ТЭЛА. Описание клинического случая

Abstract

Deep vein thrombosis (DVT) and PE are classified as venous thromboembolic complications (VTEO), they remain an important problem in clinical medicine and affect the professional sphere of doctors of all specialties, since their pathogenesis is based on hypercoagulation caused by various causes, in particular, genetic defects of blood clotting factors, diseases of the cardiovascular system, severe injuries and subsequent immobilization, iatrogenic lesions, etc. The article describes a clinical case of treatment, observation and treatment of a patient diagnosed with Subacute phlebothrombosis of the left lower limb. Popliteal-femoral segment. VN II. Non-massive bilateral pulmonary embolism. DN 0-1. Arterial hypertension 2 stages, 2 degrees, risk 3.CHF 1. The study was conducted on the basis of the Regional Clinical Hospital No. 2 in Tyumen. Aim. Description of the identified case, subcute thrombosis of the femoral-popliteal segment, complicated by PE, for a more complete understanding of the problem due to the high prevalence of this pathology in the structure of vascular diseases; analysis of the possibility of early diagnosis and treatment on the example of a specific case. Material and methods. A retrospective analysis of the patient’s medical history was carried out and an example from the practice of the admission department of the Regional Clinical Hospital No. 2 in Tyumen of clinical observation of a patient diagnosed with subacute thrombosis of the femoral-popliteal segment, complicated by PE. Anamnesis of life and disease, clinical, laboratory and instrumental data were evaluated. Conclusion. The most realistic prevention of threatening PE is the effective treatment of acute venous thrombosis. It is very important to timely and adequately assess the risk of thrombosis in each individual case. The consequences of the lack of prevention of thrombosis lead to an increased risk of repeated episodes of venous thromboembolism, the development of post-thrombotic disease, and can also lead to death from PE. It should be noted that it is necessary to monitor CT scans – angiopulmonography – to control the development of pulmonary embolism as a complication against the background of newly formed thrombosis of the femoral-popliteal segment. Sanitary and educational work, active tactics, timely treatment and hospitalization of patients with acute deep vein thrombosis BPS will contribute to improving the quality of life of this category of patients, reducing the percentage of PE and deaths.