Clinical cases of pulmonary embolism in female military personnel

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Abstract

Pulmonary embolism for a long time holds the third place in the structure of cardiovascular mortality. The main problem in the prevention and treatment of this complication is the lack of pathognomonic symptoms and express systems for its prehospital diagnosis. For these reasons, some patients die both before hospitalization and directly in the hospital due to delayed and/or improper treatment. The proportion of female contingent under 45 years old in the Armed Forces of the Russian Federation is steadily increasing, therefore, the identification and detailed clinical analysis of cases of pulmonary embolism in women is an important problem not only for civilian but also for military health care. The article presents two clinical cases of the development of pulmonary embolism in female military personnel against the background of various risk factors, as well as treatment options for this complication.

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About the authors

D. Yu. Serdyukov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation; St. Petersburg Medical and Social Institute

Author for correspondence.
Email: serdukovdu@yandex.ru

доктор медицинских наук, полковник медицинской службы 

Russian Federation, St. Petersburg; St. Petersburg

A. V. Gordienko

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: serdukovdu@yandex.ru

профессор, полковник медицинской службы запаса

Russian Federation, St. Petersburg

V. T. Dydyshko

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: serdukovdu@yandex.ru

кандидат медицинских наук, подполковник медицинской службы запаса

Russian Federation, St. Petersburg

B. A. Chumak

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: serdukovdu@yandex.ru

доцент, полковник медицинской службы

Russian Federation, St. Petersburg

S. S. Mikhailov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation; The I.I.Mechnikov North-Western State Medical University of the Ministry of Health of the Russian Federation

Email: serdukovdu@yandex.ru

доктор медицинских наук, майор медицинской службы

Russian Federation, St. Petersburg; St. Petersburg

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. A - CT angiography of patient N. in 2019 (arrow indicates thrombus in the pulmonary artery); B - status after thromboembolectomy in 2022

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3. Fig. 2. TELA in patient Z.: A - wall thrombi in small branches of the pulmonary artery; B - infarct pneumonia (triangular shading focus)

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Copyright (c) 2023 Serdyukov D.Y., Gordienko A.V., Dydyshko V.T., Chumak B.A., Mikhailov S.S.



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: № 01975 от 30.12.1992.

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