| Autor: |
Orlovskiĭ PI, Gritsenko VV, Vavilova TV, Kadinskaia MI, Petrishina TI, Mochalov OIu, Polezhaev DA, Galileeva AN |
| Jazyk: |
ruština |
| Zdroj: |
Vestnik khirurgii imeni I. I. Grekova [Vestn Khir Im I I Grek] 2004; Vol. 163 (5), pp. 20-4. |
| Abstrakt: |
The investigation of the hemostasis system performed in 47 patients with mechanical heart valves (MHV) at the terms of (3.50 +/- 0.25) years included 30 men and 17 women. There were 24 cases of aortal MHV and 23 cases of mitral MHV, I-II functional class (NYHA). The patients were given oral anticoagulants: phenylin to 35 patients (0.009 mg/day), varfarin to 12 patients (52.6 mg/a week). The primary examination of the patients has revealed insufficient anticoagulation protection and clinically asymptomatic permanent intravascular coagulation of the third degree (PIC-3), with the signs of activation of thrombocytic and/or coagulation link of hemostasis. It has been found that a complex assessment of the hemostasis system state including the vascular-thrombocytic link is an obligatory condition of the right choice and timely correction of the PIC-3 in patients with MHV. The methods of correction of impaired hemostasis depend on the primary involvement of the vascular-thrombocytic and/or coagulation link of hemostasis. The pathogenetically selected antithrombotic therapy for patients with MHV allows timely arrest of PIC-3 and less risk of the development of thrombosis and thrombo-embolic complications at long-term periods of observation. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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