tromboemboliya legochnoy arterii

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powerpoint presentation tromboemboliya legochnoy arterii xamraeva charos 1. chto takoe tromboemboliya legochnoy arterii (tela)? 2. diagnostika tela 3. lechenie i profilaktika tela plan: vvedenie tromboemboliya legochnoy arterii, ili tela, yavlyaetsya sereznim zabolevaniem, pri kotorom odna ili neskolko legochnix arteriy blokiruyutsya trombom, chasto obrazovavshimsya v glubokix venax nog. priblizitelno u 95% patsientov s tela trombi obrazuyutsya v nijnix konechnostyax, chto podcherkivaet vajnost profilaktiki i ranney diagnostiki venoznoy tromboembolii. chto takoe tromboemboliya legochnoy arterii (tela)? tela – eto zakuporka legochnoy arterii, chashe vsego trombom iz glubokix ven nog, kotoriy blokiruet krovotok i gazoobmen v legkix. klinicheskie proyavleniya tela variruyutsya: ot odishki i boli v grudi do vnezapnoy smerti, chto zavisit ot razmera tromba i stepeni perekritiya sosuda. faktori riska razvitiya tela dlitelnaya immobilizatsiya, naprimer, posle xirurgicheskogo vmeshatelstva ili pri dlitelnix pereletax (bolee 4 chasov), znachitelno uvelichivaet risk razvitiya tela iz-za staza venoznoy krovi. priem oralnix kontratseptivov, soderjashix estrogen, povishaet risk tela v …

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evri iz-za infarkta legkogo ili vospaleniya. diagnostika tela d-dimer, visokochuvstvitelniy, no nespetsifichniy marker, pomogaet isklyuchit tela pri nizkom klinicheskom podozrenii, s porogovim znacheniem obichno 500 mkg/l, xotya korrektiruetsya po vozrastu (vozrast x 0.01 mkg/l). kt-angiografiya legochnix arteriy (ktla) - zolotoy standart vizualizatsii dlya diagnostiki tela, obespechivayushiy obnarujenie trombov v osnovnix, dolevix i segmentarnix legochnix arteriyax s visokoy tochnostyu. shkala otsenki veroyatnosti tela shkala otsenki veroyatnosti tela, takaya kak shkala wells, ispolzuet klinicheskie priznaki, naprimer, chastotu serdechnix sokrasheniy vishe 100 udarov v minutu, otsenivaya risk tela. shkala geneva peresmatrivaetsya, chtobi optimizirovat prognosticheskuyu tsennost, prisvaivaya balli razlichnim faktoram riska, vklyuchaya predidushiy tela/dvt i aktivniy rak. vizualizatsiya pri tela (kt, angiografiya i dr.) kt-angiografiya legochnoy arterii (ktla) – zolotoy standart vizualizatsii tela, obnarujivayushiy defekti napolneniya >3 mm s chuvstvitelnostyu i spetsifichnostyu bolee 90%. kateternaya legochnaya angiografiya (lag) izmeryaet davlenie v legochnoy arterii i mojet viyavit trombi, no primenyaetsya reje iz-za invazivnosti i riska. …

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ntgenografiyu grudnoy kletki ili kt, otsenivaya nalichie infiltratov i priznakov konsolidatsii legochnoy tkani. lechenie tela: antikoagulyantnaya terapiya antikoagulyantnaya terapiya pri tela vklyuchaet ispolzovanie pryamix oralnix antikoagulyantov (poak), takix kak apiksaban i rivaroksaban, s effektivnostyu, dostigayushey primerno 95% v predotvrashenii retsidivov. varfarin, nepryamoy antikoagulyant, trebuet monitoringa mno (mejdunarodnoe normalizovannoe otnoshenie) v diapazone 2.0-3.0 dlya podderjaniya terapevticheskogo effekta i minimizatsii riska krovotecheniy. drugie metodi lecheniya tela (trombolizis, embolektomiya) trombolizis ispolzuet preparati, takie kak rekombinantniy tkaneviy aktivator plazminogena (rt-pa), dlya bistrogo rastvoreniya tromba, uluchshaya krovotok v techenie 24-48 chasov. embolektomiya, xirurgicheskoe udalenie tromba, primenyaetsya pri massivnoy tela s nestabilnoy gemodinamikoy, kogda trombolizis protivopokazan ili neeffektiven v techenie korotkogo vremeni. oslojneniya tela xronicheskaya tromboembolicheskaya legochnaya gipertenziya (xtelg) razvivaetsya u 0.5-5% patsientov posle tela, privodya k progressiruyushey odishke i pravojeludochkovoy nedostatochnosti. retsidiviruyushaya tela, voznikayushaya nesmotrya na antikoagulyantnuyu terapiyu, uvelichivaet risk letalnogo isxoda i trebuet otsenki na nalichie osnovnogo trombofilicheskogo sostoyaniya. prognoz pri tela rannyaya diagnostika …

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elstv, dlya snijeniya riska obrazovaniya trombov. mexanicheskie metodi profilaktiki tela, takie kak prerivistaya pnevmaticheskaya kompressiya (ipc) s davleniem 30-40 mm rt. st., uluchshayut venozniy krovotok i umenshayut staz krovi v nijnix konechnostyax. spasibo za vnimanie image3.jpg image4.jpg image5.jpg image6.jpg image7.jpg image8.jpg image9.jpg image10.jpg image11.jpg image12.jpg image13.jpg image14.jpg image15.jpg image16.jpg image17.jpg image1.png

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powerpoint presentation tromboemboliya legochnoy arterii xamraeva charos 1. chto takoe tromboemboliya legochnoy arterii (tela)? 2. diagnostika tela 3. lechenie i profilaktika tela plan: vvedenie tromboemboliya legochnoy arterii, ili tela, yavlyaetsya sereznim zabolevaniem, pri kotorom odna ili neskolko legochnix arteriy blokiruyutsya trombom, chasto obrazovavshimsya v glubokix venax nog. priblizitelno u 95% patsientov s tela trombi obrazuyutsya v nijnix konechnostyax, chto podcherkivaet vajnost profilaktiki i ranney diagnostiki venoznoy tromboembolii. chto takoe tromboemboliya legochnoy arterii (tela)? tela – eto zakuporka legochnoy arterii, chashe vsego trombom iz glubokix ven nog, kotoriy blokiruet krovotok i gazoobmen v legkix. klinicheskie proyavleniya tela variruyutsya: ot odishki i b...

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