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The Effectiveness of Systemic Thrombolysis in the Treatment of Massive Pulmonary Embolism
- Authors: Sukovatykh B.S.1, Gordov M.Y.2, Larina I.V.2, Valuyskaya N.M.1
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Affiliations:
- Kursk State Medical University
- Kursk City Clinical Hospital of Emergency Medical Care
- Issue: Vol 17, No 4 (2024)
- Pages: 198-203
- Section: Cases from practice
- URL: https://vestnik-surgery.com/journal/article/view/1791
- DOI: https://doi.org/10.18499/2070-478X-2024-17-4-198-203
- ID: 1791
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Abstract
The article presents a case of timely diagnosis and successful treatment of massive pulmonary embolism in a young man suffering from obesity, hypertension and osteochondrosis of the lumbar spine. The disease was manifested with symptoms of acute respiratory failure, hemodynamics was stable. Laboratory tests revealed an increase in the level of D-dimer and hypercoagulation. Electrocardiographic examination revealed signs of overloading of the right ventricle, and echocardiography revealed pulmonary hypertension of the 2nd degree. Ultrasound examination of the venous system of the lower extremities detected that the cause of the embolism was the migration of a blood clot from a thrombosed femoral vein. The diagnosis was confirmed during computed tomography of the lungs with intravenous contrast. Thrombolytic therapy was performed with alteplase in standard dosages. The patient underwent anticoagulant therapy for 3 months.
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About the authors
Boris S. Sukovatykh
Kursk State Medical University
Author for correspondence.
Email: SukovatykhBS@kursksmu.net
ORCID iD: 0000-0003-2197-8756
M.D., Professor, Head of the Department of General Surgery
Russian Federation, KurskMaxim Y. Gordov
Kursk City Clinical Hospital of Emergency Medical Care
Email: maks_gordov@mail.ru
Head of the Vascular Surgery Department
Russian Federation, KurskInna V. Larina
Kursk City Clinical Hospital of Emergency Medical Care
Email: maks_gordov@mail.ru
surgeon of the Vascular Surgery Department
Russian Federation, KurskNelly M. Valuyskaya
Kursk State Medical University
Email: valuiskayanm@kursksmu.net
Ph.D., Associate Professor of the Department of General Surgery
Russian Federation, KurskReferences
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