Treatment of massive pulmonary embolism with systemic thrombolysis in the nearest postoperative period
I. I. Dzidzava,
B. N. Kotiv,
K. I. Makhmudov,
O. V. Barinov,
P. N. Zubarev,
A. V. Smorodskij,
M. A. Stolnikov,
E. V. Slobodyanik,
A. A. Shchemelev https://doi.org/10.24884/0042-4625-2020-179-5-63-68
Abstract
In the presented clinical observations, in one patient, acute massive pulmonary embolism developed on the 2nd day after the extended surgical intervention in the colon; in the second case, it developed on the 18th day after the extensive surgical aid against pancreatic necrosis. Clinical predictors of a high risk of death of thromboembolism and the technical impossibility of using another treatment method were the basis for systemic administration of tissue plasminogen activator. The direct result of systemic thrombolysis was the clinical recovery of patients. The hemorrhagic complication diagnosed in one of the observations was in the form of moderate bleeding from a vessel of the gastroenteroanastomosis region. Bleeding was stopped with the minimally invasive endoscopic clipping.
About the Authors
I. I. Dzidzava
Military Medical Academy
Russian Federation
Russian Federation
Dr. of Sci. (Med.), Associate Professor, Head of the Department of Hospital Surgery, Head of the Clinic of Hospital Surgery,
Saint Petersburg
B. N. Kotiv
Military Medical Academy
Russian Federation
Russian Federation
Dr. of Sci. (Med.), Professor, Deputy Head of the Academy for Academic and Scientific Work,
Saint Petersburg
K. I. Makhmudov
Military Medical Academy
Russian Federation
Russian Federation
Head of the Oncology Department of the Clinic of Hospital Surgery,
Saint Petersburg
O. V. Barinov
Military Medical Academy
Russian Federation
Russian Federation
Dr. of Sci. (Med.), Deputy Head of Department of Hospital Surgery,
Saint Petersburg
P. N. Zubarev
Military Medical Academy
Russian Federation
Russian Federation
Dr. of Sci. (Med.), Professor, Professor of the Department of General Surgery,
Saint Petersburg
A. V. Smorodskij
Military Medical Academy
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Lecturer of the Department of Hospital Surgery,
Saint Petersburg
M. A. Stolnikov
Military Medical Academy
Russian Federation
Russian Federation
Head of the Department of Anesthesiology and Resuscitation of the Clinic of Hospital Surgery,
Saint Petersburg
E. V. Slobodyanik
Military Medical Academy
Russian Federation
Russian Federation
student of the Medical Faculty,
Saint Petersburg
A. A. Shchemelev
Military Medical Academy
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Assistant of the Head for Medical Affairs of the Clinic of Hospital Surgery,
Saint Petersburg
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Dzidzava I.I., Kotiv B.N., Makhmudov K.I., Barinov O.V., Zubarev P.N., Smorodskij A.V., Stolnikov M.A., Slobodyanik E.V., Shchemelev A.A. Treatment of massive pulmonary embolism with systemic thrombolysis in the nearest postoperative period. Grekov's Bulletin of Surgery. 2020;179(5):63-68. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-5-63-68
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