ТРОМБОЭМБОЛИЯ ВЕТВЕЙ ЛЕГОЧНОЙ АРТЕРИИ У БОЛЬНЫХ САХАРНЫМ ДИАБЕТОМ

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  • 75

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    E;mail: vasiltseva@cardio.tsu.ru

    TROMBOEMBOLISM OF PULMONARY ARTERY BRANCHES IN PATIENTS WITH DIABETES MELLITUS

    O.Ya. Vasiltseva, I.N. Vorozhtsova, A.V. Krestinin, R.S. Karpov

    Institute of Cardiology of the Siberian Branch of the Russian Academy of Medical Sciences, TomskSiberian State Medical University, Tomsk

    : () . 2003 2010 . (653 ) / , 2003 2010 . 129 , . 28,57% 31,594,41 /2. 2,22 : 1. . 27 (21%) , .. . . 30,2% , 15,3% . , , 2 , . : , , .

    The purpose of the study: to analisyze the characteristics, clinical course of pulmonary embolism in the patients withdiabetes on the basis of new cases of thromboembolic pulmonary artery branches (PE) of deaths in hospitals in Tomskfrom 2003 to 2010. Autopsy report and medical records of all patients (653 cases) diagnosed with in vivo and/or pulmonaryembolism posthumously, died from 2003 to 2010 were studied. Diabetes mellitus was diagnosed in 129 patients and allpatients had moderately severe course or are under the subor decompensation. 28.57% have been accompanied by a highbody mass 31.594.41 kg/m2. Ratio of therapeutic to patients surdical in line 2.22 : 1. All patients with diabetes werehospitalized on an emergency basis. 27 patients (21%) were in hospital less then a day, that is blood clots in the ground the sources of thromboembolism occurred in their home outside the hospital. One major source of thromboembolismwere branches of the inferior vena cava. At the same time, 30.2% in place of the primary place of thrombus in the patientswith diabetes have the right chambers of the heat, aganst 15.3% in patients without diabetes. Thus, we must conclude thatthe importance for patients with 2 type diabetes as a risk factor for thromboembolic complication, until now isunderestimated at outpatient as well as hospital stage.Key words: thromboembolism, pulmonary artery, diabetes mellitus.

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  • 76

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    2. .., .., .. . 20032008 , // (). 2011. 1. . 170173.

    3. .. : . I. // . 2009. 5. . 270289.

    4. . : 233 09.06.2003 . ; .

    5. .., .., .. . // . . . 2008. . 16, 4. . 200205.

    6. .., .., .. // . .. 2006. . 14, 13. . 972973.

    7. .., .. // . 2011. 7. . 7983.

    8. .. . . : , 2006. 305 .

    9. Le Gal G., Righini M., Roy P.M. et al. Prediction of pulmonaryembolism in the emergency department: the revised Genevascore // Ann. Intern. Med. 2006. [Vol.] 144. P. 165171.

    10. Anderson F.A.Jr. , Spenser F.A. Risk factors for venoustromboembolism // Circulation. 2003. Vol. 107,(23 Suppl 1). P. 1619.

    12.09.2011

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