GOSUDARSTVENNOE BJUDZHETNOE OBRAZOVATELNOE UCHREZHDENIE VYSSHEGO PROFESSIONALNOGO OBRAZOVANIJA "ROSSIJSKIJ NATSIONALNYJ ISSLEDOVATELSKIJ MEDITSINSKIJ UNIVERSITET IM. N.I. PIROGOVA MINISTERSTVA ZDRAVOO
发明人:
KIRIENKO ALEKSANDR IVANOVICH,Кириенко Александр Иванович,LEONTEV STANISLAV GENNADEVICH,Леонтьев Станислав Геннадьевич,MIRONOV ALEKSEJ VIKTOROVICH,Миронов Алексей Викторович,USTINOV FILIPP SERGEEVICH,У
申请号：
RU2013102006/14
公开号：
RU0002506899C1
申请日:
2013.01.17
申请国别(地区):
RU
年份:
2014
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to therapy and pulmonology, and can be used for selection of tactics of treating thromboembolism of pulmonary artery. For this purpose computered tomography with bolus enhancement is performed to patient, areas of affection located more distally than thrombotic embolus are examined and number of respiratory movements per minute is taken into account. Presence of occluded vessel or vessels in examined areas is identified. Occlusion of segmental branch of pulmonary artery, located more distally than embolus, is assessed in one point irrespective of degree of vessel occlusion. Occlusion of each of lobar branches in case of affection of right middle lobar, left middle- and upper lobar branches of pulmonary artery is assessed in 2 points. Occlusion of upper lobar branch of pulmonary artery on the right, lower lobar branch of pulmonary artery on the left is assessed in 3 points. Occlusion of right lower lobar branch of pulmonary artery is assessed in 4 points. Occlusion of left main pulmonary artery is assessed in 7 points. Occlusion of right main pulmonary artery is assessed in 9 points. Occlusion of both main pulmonary arteries and/or pulmonary trunk is assessed in 17 points. After that, points are summed up. If the sum of points is from 1 to 6, anticoagulation therapy is performed with heparin. If the sum of points constitutes from 7 to 10 at rate of respiratory movements (RRM) lower than 18, another anticoagulation therapy is performed, at RRM more than 18 - thrombolytic therapy is performed. If the sum of points constitutes from 11 to 17, thrombolytic therapy is performed.EFFECT: method provides possibility of operative objective assessment of degree of pulmonary bed affection and beginning of required therapy in due time.5 dwg, 1 tbl, 4 exИзобретение относится к медицине, а именно к терапии и пульмонологии, и может быть использовано для выбора тактики лечения тромбоэмболии легочной артерии. Для этого п
