Prevention of venous thromboembolism in patients of elderly and senile age group with acute necrotizing pancreatitis
DOI:
https://doi.org/10.11603/2414-4533.2016.4.7182Abstract
The study of the system gemostazis in 43 patients of elderly age with the acute pancreatitis who were treated in Ivano-Frankivsk Regional Clinical Hospital from 2013 to 2016 was conducted. Among them there were 27 мen (62.7 %), and 16 (37.2 %) women. Age of patients made from 60 to 81 years, on the average 66.2 ± 1.18 years. In the first days after hospitalization laparoscopic interventions were performed in 36 (83.7 %) patients. Laparoscopic drainage from abdominal cavity due to widespread enzymatic was peritonitis performed in 27 (62.7 %) patients. Laparoscopic cholecystectomy and drainage of the abdominal cavity in advanced enzymatic peritonitis was performed in 9 (21 %) patients. In 7 (16.2 %) patients was conducted completed early laparatomy. 24 (55.8 %) patients underwent prevention of thromboembolic complications. Comparison group consisted of 19 (44 %) patients in whom the prevention of thromboembolic complications wasn’t performed. In elderly patients with acute necrotizing pancreatitis hypercoagulable processes dominated. The use of low molecular weight heparin for the prevention of trombohemoragge complications in elderly patients provided hemocoagulation rapid elimination of violations and contributed to improvements in vascular-platelet hemostasis level.References
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