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Вестник анестезиологии и реаниматологии

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Тромбоэмболические осложнения при заболевании COVID-19, коротко об изменениях в рекомендациях

https://doi.org/10.21292/2078-5658-2021-18-1-37-46

Аннотация

Роль коагулопатии при тяжелой новой коронавирусной инфекции еще предстоит выяснить. Механизмы коагулопатии можно суммировать по двум основным направлениям: пути, обусловленные воспалением, и пути, связанные со специфическими вирусами. Частота тромбоэмболических событий высока, при этом тромбоэмболия легочной артерии является наиболее частым тромбоэмболическим осложнением. Низкомолекулярный гепарин считается основным профилактическим и терапевтическим средством у пациентов с COVID-19. Лечение тромбоэмболических осложнений следует начинать без промедления во всех случаях с определенным или клинически подозреваемым диагнозом, подтвержденным или нет определенными диагностическими методами. В обзоре рассмотрены: механизмы развития коагулопатии при COVID-19, в том числе связанные непосредственно с действием вируса; диагностическая значимость биохимических маркеров и тромбоэластографии; частота встречающихся тромбоэмболических событий; подходы к профилактике и лечению связанной с COVID-19 коагулопатией.

Об авторах

А. Лаврентьева
Больница Папаниколау
Греция

Лаврентьева Афина врач, доктор философии, заведующая отделением интенсивной терапии 

Эксохи, Пилая-Хортиатис, Салоники, Греция, 57010

Тел.: +302313307932



С. Тсотсолис
Университет Аристотеля
Греция
Тсотсолис Ставрос Врач, магистр философии


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Рецензия

Для цитирования:


Лаврентьева А., Тсотсолис С. Тромбоэмболические осложнения при заболевании COVID-19, коротко об изменениях в рекомендациях. Вестник анестезиологии и реаниматологии. 2021;18(1):37-46. https://doi.org/10.21292/2078-5658-2021-18-1-37-46

For citation:


Lavrentieva А., Tsotsolis S. Thromboembolic complications in COVID-19 disease, a brief update. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2021;18(1):37-46. (In Russ.) https://doi.org/10.21292/2078-5658-2021-18-1-37-46



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