RESUMEN
AIM: To assess the efficacy of intermittent pneumatic compression (IPC) in the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) in neurological patients. MATERIAL AND METHODS: The study included 101 patients with acute disorders of cerebral circulation: 52 patients underwent IPC for prevention of DVT of the lower extremities, 49 patients received only basic treatment. Clinical examination, venous duplex scan of the lower extremities and telethermography were performed. RESULTS AND CONCLUSION: IPC significantly reduces the risk of DVT of the lower extremities and PE mortality in the first 20 days in patients with stroke and motor deficit. Ultrasound and thermography can effectively assess the dynamics of treatment.
Asunto(s)
Aparatos de Compresión Neumática Intermitente , Embolia Pulmonar , Trombosis de la Vena , Humanos , Unidades de Cuidados Intensivos , Extremidad Inferior , Embolia Pulmonar/prevención & control , Trombosis de la Vena/prevención & controlRESUMEN
A total of 4684 autopsies made at Moscow multidisciplinary hospitals in 2002-2008 were studied to reveal the incidence and morphological features of acute gastroduodenal erosions and ulcers in coronary heart disease (CHD), cerebrovascular disease (CVD), and chronic obstructive pulmonary disease (COPD). Cases with combined, background, and concomitant diseases that could be independent causes of gastroduodenal lesions were excluded. Patients older than 60 years with infarctions of the myocardium or brain, a concurrence of CHD, CVD, and COPD, and various diseases with chronic heart failure syndrome, particularly in the presence of arterial hypertension and diabetes mellitus should be referred to as a risk group for acute gastroduodenal erosions and ulcers and their induced hemorrhages.
Asunto(s)
Trastornos Cerebrovasculares , Enfermedad Coronaria , Úlcera Duodenal , Duodenitis , Enfermedad Pulmonar Obstructiva Crónica , Enfermedad Aguda , Factores de Edad , Trastornos Cerebrovasculares/complicaciones , Trastornos Cerebrovasculares/epidemiología , Trastornos Cerebrovasculares/patología , Enfermedad Coronaria/complicaciones , Enfermedad Coronaria/epidemiología , Enfermedad Coronaria/patología , Úlcera Duodenal/epidemiología , Úlcera Duodenal/etiología , Úlcera Duodenal/patología , Duodenitis/epidemiología , Duodenitis/etiología , Duodenitis/patología , Femenino , Humanos , Masculino , Enfermedad Pulmonar Obstructiva Crónica/complicaciones , Enfermedad Pulmonar Obstructiva Crónica/epidemiología , Enfermedad Pulmonar Obstructiva Crónica/patología , Factores de RiesgoRESUMEN
There is a rise in the rates of acute erosive gastropathies in patients with cardiovascular and other somatic diseases. The role of acute erosive gastropathy-induced hemorrhages in the tanatogenesis of these diseases is underestimated; the problems of their prevention, diagnosis, and treatment remained unsolved. Many factors, mainly acute or chronic ischemia of the gastroduodenal mucosa, as well as its age-related involution, Helicobacter pylori infection, reflux gastritis, multiple organ dysfunction, drug-induced damage, etc., which are implicated in the pathogenesis of acute erosive gastropathies in patients with cardiovascular and other somatic diseases, are summarized.