The status of hemostasis in patients with concomitant pelvic trauma
Abstract
Aim. To study the state of hemostasis in patients with concomitant trauma of the pelvis.
Materials and methods. 93 patients with concomitant pelvic trauma the state of hemostasis were examined by coagulation tests. The control group included 20 patients.
Results and discussion. An increase of blood coagulation properties was revealed on the background of inhibition of fibrinolytic and anticoagulative system indexes. At the same time, there was an increase in the content of fibrinogen decomposition products.
Conclusion. Thus, an increase of blood coagulation potential, suppression of the activity of its fibrinolytic and anticoagulant systems are observed in patients with combined pelvic trauma. Also, the appearance of products of fibrinogen decomposition proves the changes of hemostasis by the type of subacute form of DIC syndrome.
About the Authors
A. Kh. Safarov
SEI “Institute of Postgraduate Education in Spere of a Healthcare of the Republic of Tajikistan”
Tajikistan
Tajikistan
Traumatology and Orthopedics Department
K. Kh. Sirojov
SEI “Institute of Postgraduate Education in Spere of a Healthcare of the Republic of Tajikistan”
Tajikistan
Tajikistan
Traumatology and Orthopedics Department
Z. K. Kosimov
SEI “Institute of Postgraduate Education in Spere of a Healthcare of the Republic of Tajikistan”
Tajikistan
Tajikistan
Department of anesthesiology and resuscitation
D. B. Khamidov
SEI “Institute of Postgraduate Education in Spere of a Healthcare of the Republic of Tajikistan”
Tajikistan
Tajikistan
Dzhura Butaevich Khamidov - Candidate of Medical Sciences; Assistant Professor of Anesthesiology and Resuscitation Department
tel: +(992)985530062
References
1. Vlasov A. A. Sistemnyy koagulyatsionno-liticheskiy distress – sindrom pri travmaticheskoy bolezni [Systemic Coagulation-Lytic Distress Syndrome in Traumatic Illness]. Travmatologiya i ortopediya Rossii - Traumatology and Orthopedics of Russia, 2014, No. 1 (71), pp. 80-85.
2. Ripp E. G. Znachenie ekspress–diagnostiki disfunktsii sistemy gemostaza u bolnykh s travmoy i ostroy krovopoterey [The value of rapid diagnostics of hemostasis system dysfunction in patients with trauma and acute blood loss]. Obshchaya reanimatologiya General resuscitation, 2010, Vol. 3, pp. 57-59.
3. Saburova A. M. Pokazateli gemostaza i perekisnogo okisleniya lipidov v krovi bolnykh s abdominalnoy travmoy [Hemostasis and lipid peroxidation parameters in the blood of patients with abdominal trauma]. Doklady akademii nauk Respubliki Tadzhikistan - Reports of the Academy of Sciences of the Republic of Tajikistan, 2012, Vol. 55, No. 11, pp. 913- 917.
4. Sirozitdinov S. D. Sovershenstvovanie metodov diagnostiki i profilaktiki rannikh oslozhneniy travmaticheskoy bolezni pri mnozhestvennykh perelomakh kostey konechnosti [Improvement of methods of diagnosis and prevention of early complications of traumatic disease in multiple fractures of limb bones]. Kafedra travmatologii i ortopedii - Department of Traumatology and Orthopedics, 2016, No. 1 (17), pp. 36-39.
5. Skipetrov V. P. Koagulyatsionno–liticheskaya sistema tkaney i trombogemorragicheskiy sindrom v khirurgii [Coagulation and lytic system of tissues and thrombohemorrhagic syndrome in surgery]. Saransk, Izdatelstvo Mardovskogo gosudarstvennogo universiteta Publ., 2011. 192 p.
6. Shilkov I. L. Gemostaziologicheskaya otsenka stepeni tyazhesti sostoyaniya patsienta s travmoy taza [Hemostasis assessment of the severity of a patient with pelvic trauma]. Politravma - Polytrauma, 2012, No.1, pp. 54-59.
7. Brohi K. Acute coagulopathy of trauma: hypoperfusion induces systemic anticoagulation and hyperfibrinolysis. Journal of Trauma and Acute Care Surgery. 2008, Vol. 64, No. 5, pp. 1211-1217.
8. Pavić R. Emergency treatment for clinically unstable patients with pelvic fracture and haemorrhage. Collegium Antropologicum, 2012, Vol. 36, No. 4, pp. 1445–52.
Review
For citations:
Safarov A.Kh., Sirojov K.Kh., Kosimov Z.K., Khamidov D.B. The status of hemostasis in patients with concomitant pelvic trauma. Health care of Tajikistan. 2020;(4):44-48. (In Russ.)
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