Sirazitdinov Sayar Damirovich (RU),Сиразитдинов Саяр Дамирович (RU),Sirazitdinov Damir Talibovich (RU),Сиразитдинов Дамир Талибович (RU),Pankov Igor Olegovich (RU),Панков Игорь Олегович (RU),Mironova
申请号：
RU2019139908
公开号：
RU0002726358C1
申请日:
2019.12.05
申请国别(地区):
RU
年份:
2020
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to traumatology, and represents a method for prevention of thromboembolic complications (TEC) in patients with multiple fractures of limb long bones, differing by the fact that after patient withdrawal from traumatic shock, stabilization of hemodynamics values and analysis of "Trombodynamics" in case of bleeding development threat, preoperative preparation is performed without anticoagulant, in the absence of signs of hypercoagulation, sodium enoxaparin is administered to a patient in a standard dosage of 40 mg, with hypercoagulation, with a fibrin clot growth rate greater than 29 mcm/min, dosage is increased to 60 mg, in severe cases, with the formation of spontaneous clots, sodium enoxaparin dose is increased to 80 mg a day, on 3rd postoperative day, the patients with thrombosis risk undergo a follow-up examination – ultrasound Doppler ultrasonography (USDU), if necessary, adjusting the dose of sodium enoxaparin, on 5th postoperative day, analyzes are carried out: coagulogram, D-dimers, FBC, "Thrombodynamics", with a high risk of thrombosis on 3rd-4th day, USDU vein of lower extremities is administered, and if thrombosis or thrombosis of any localization is prescribed therapeutic doses of heparin, if USDU is determined by the presence of thrombosis with signs of flotation – thrombectomy.EFFECT: technical result of the invention is reducing the risk of TEC.1 cl, 13 dwg, 3 exИзобретение относится к медицине, а именно к травматологии, и представляет собой способ профилактики тромбоэмболических осложнений (ТЭО) у пациентов с множественными переломами длинных трубчатых костей конечностей, отличающийся тем, что после выведения пациента из состояния травматического шока, стабилизации показателей гемодинамики и выполнения анализа «Тромбодинамика» при угрозе развития кровотечений предоперационную подготовку проводят без антикоагулянта, при отсутствии признаков гиперкоагуляции пациенту вводят эноксапарин натри
