Clinical cases of pulmonary embolism in female military personnel

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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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作者简介

D. Serdyukov

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

编辑信件的主要联系方式.
Email: serdukovdu@yandex.ru

доктор медицинских наук, полковник медицинской службы 

俄罗斯联邦, St. Petersburg; St. Petersburg

A. 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

俄罗斯联邦, St. Petersburg

V. 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

俄罗斯联邦, St. Petersburg

B. 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

俄罗斯联邦, St. Petersburg

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

俄罗斯联邦, St. Petersburg; St. Petersburg

参考

  1. Крючкова Н.М., Федорова Т.Е., Чернова А.А. и др. Полиморфизм генов MTHFR, GP1BA, FGA при тромбоэмболии легочной артерии // РМЖ. – 2020. – № 3. – С. 18–20.
  2. Никулина Н.Н., Тереховская Ю.В. Эпидемиология тромбоэмболии легочной артерии в современном мире: анализ заболеваемости, смертности и проблем их изучения // Рос. кардиол. журн. – 2019. – Т. 24, № 6. – С. 103–108.
  3. Санец И.А., Силин А.Е., Ярец Ю.И. и др. Генетические маркеры венозного тромбоэмболизма у хирургических пациентов // Новости хирургии. – 2018. – Т. 26, № 2. – С. 155–162.
  4. Якушин С.С., Никулина Н.Н., Тереховская Ю.В. Клинические проявления и диагностика тромбоэмболии легочной артерии в рутинной клинической практике (данные Регионального сосудистого центра Рязанской области) // Рос. медико-биол. вестн. имени академика И.П.Павлова. – 2022. – Т. 30, № 1. – С. 51–62.
  5. Giordano N.J., Jansson P.S., Young M.N. et al. Epidemiology, pathophysiology, stratification, and natural history of pulmonary embolism // Tech. Vasc. Interv. Radiol. – 2017. –. Vol. 20, N 3. – P. 135–140.
  6. Jara-Palomares L., Alfonso M., Maestre A. et al. Comparison of seven prognostic tools to identify low-risk pulmonary embolism in patients aged <50 years // Sci. Rep. 2019. – N. 9 (1). – P. 20064.
  7. Konstantinides S.V., Meyer G., Becattini C. et al.2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC) // Eur. Heart J. – 2020. – Vol. 41, Is. 4. – P. 543–603.
  8. Lacruz B., Tiberio G., Latorre A. et al. Venous thromboembolism in young adults: Findings from the RIETE registry // Eur. J. Intern. Med. – 2019. – N. 63. – P. 27–33.
  9. Palm V., Rengier F., Rajiah P. et al. Acute Pulmonary Embolism: Imaging Techniques, Findings, Endovascular Treatment and Differential Diagnoses // Fortschr. Rцntgenstr. – 2020. – Vol. 192. – P. 38–49.
  10. Spencer F.A., Lessard D., Emery C. et al. Venous Thromboembolism in the Outpatient Setting // Arch. Intern. Med. – 2007. – Vol. 167, N. 14. – P. 1471–1475.
  11. Tzoran I., Papadakis E., Brenner B. et al. Gender-related differences in the outcome of patients with venous thromboembolism and thrombophilia // Thromb. Res. – 2017. – Vol. 151, Suppl. 1. – P. S11–S15.
  12. Wendelboe A.M., Raskob G.E. Global burden of thrombosis: epidemiologic aspects // Circ. Res. – 2016. – Vol. 118. – P.1340–1347.

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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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版权所有 © Serdyukov D.Y., Gordienko A.V., Dydyshko V.T., Chumak B.A., Mikhailov S.S., 2023



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