[Diagnostics and correction of thrombohemorrhagic impairments in patients with purulent-septic complications in obstetrics and gynecology].
The clinical course of thrombohemorrhagic complications was studied in 56 patients, aged 18 to 38, with sepsis, which developed due to obstetric and gynecologic processes on days 1, 3, 5, 7 and 10 after surgery. The patients were treated, 1999-2003, at the obstetric intensive-care and consultation center, MUZA Maternity Hospital No. 1, Krasnoyarsk. The coagulation, anti-coagulation and fibrinolytic chains of the coagulation cascade and vascular-thrombotic hemostasis were dynamically evaluated. Thrombohemorrhagic complications in severe sepsis and septic shock manifested themselves as hypercoagulation stage in 52% of observations. The hemostasis correction does not only require the elimination of changes in the hemocoagulation system but also the intensive care of the present systemic dysfunctions.
A P
AP
Kolesnichenko
G V
GV
Gritsan
A I
AI
Gritsan
A Iu
AIu
Skorobogatov
D000028:Abortion, Induced; D000293:Adolescent; D000328:Adult; D001792:Blood Platelets / Q000166:cytology; D002585:Cesarean Section; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006487:Hemostasis; D006801:Humans; D012772:Shock, Septic / Q000150:complications*; D018746:Systemic Inflammatory Response Syndrome / Q000150:complications*; D013921:Thrombocytopenia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D019851:Thrombophilia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013927:Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*