[The pathogenesis of undiagnosed peritonitis in middle-aged and elderly patients with acute coronary insufficiency].
The authors have observed 203 patients at the age of 75-87 with acute coronary insufficiency, 34 patients died on the 6th-8th days of treatment. In 22 of them death was caused by myocardial infarction, in 12--by clinically unrecognized peritonitis. A retrospective analysis of hemostasis was made on admission of the patients to the hospital and on the 5th day of treatment. In the initial state all the patients had the activated system of blood coagulation and the depressed system of anticoagulation. On the 5th day those who later died from peritonitis had had considerably decreased activity of the anticoagulating system of blood. The cause of unrecognized peritonitis in elderly and senile patients with acute coronary insufficiency is thought to be thrombogenesis in microvessels of the intestine.
Popov
A I
AI
Stasevich
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MM
D000208:Acute Disease; D000368:Aged; D003327:Coronary Disease / Q000150:complications* / Q000628:therapy; D003422:Critical Care; D006801:Humans; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
K patogenezu neraspoznannykh peritonitov u bol'nykh pozhilogo i starcheskogo vozrasta s ostroĭ koronarnoĭ nedostatochnost'iu.