Мы представляем случай успешного тромболизиса при массивной тромбоэмболии легочной артерии у беременной. При этом не наблюдалось тяжелых геморрагических осложнений. Тромболизис оказался эффективным и не повлиял на течение беременности и состояние плода. Ключевые слова: беременность, массивная тромбоэмболия легочной артерии, тромболизис, геморрагические осложнения.
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We present a case of successful thrombolysis in massive pulmonary embolism in pregnancy. No severe haemorrhagic complications were observed. Thrombolysis was effective and did not affect the pregnancy and the fetus. Key words: pregnancy, massive pulmonary embolism, thrombolysis, haemorrhagic complications.
1. Konstantinides SV, Torbicki A, Agnelli G et al. Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology. 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. The Task Force for the Diagnosis and Management of Acute Pulmonary Embolismof the ESC. Endorsed by the ERS. Eur Heart J 2014; 35 (43): 3033–73.
2. Torbicki A, Perrier A, Konstantinides S et al. ESC Committee for Practice Guidelines (CPG). Guidelines on the diagnosis and management of acute pulmonary embolism. The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology. Eur Heart J 2008; 29: 2276–315.
3. Fasullo S, Maringhini G, Terrazzino G et al. Thrombolysis for massive pulmonary embolism in pregnancy: a case report. J Emerg Med 2011; 4: 69.
4. Leonhardt G, Gaul C, Nietsch HH et al. Thrombolytic therapy in pregnancy. J Thromb Thrombolysis 2006; 21: 271–6.
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1. Konstantinides SV, Torbicki A, Agnelli G et al. Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology. 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. The Task Force for the Diagnosis and Management of Acute Pulmonary Embolismof the ESC. Endorsed by the ERS. Eur Heart J 2014; 35 (43): 3033–73.
2. Torbicki A, Perrier A, Konstantinides S et al. ESC Committee for Practice Guidelines (CPG). Guidelines on the diagnosis and management of acute pulmonary embolism. The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology. Eur Heart J 2008; 29: 2276–315.
3. Fasullo S, Maringhini G, Terrazzino G et al. Thrombolysis for massive pulmonary embolism in pregnancy: a case report. J Emerg Med 2011; 4: 69.
4. Leonhardt G, Gaul C, Nietsch HH et al. Thrombolytic therapy in pregnancy. J Thromb Thrombolysis 2006; 21: 271–6.
Авторы
Е.Ю.Шакурова, М.А.Ястребов*
ГБУЗ Республиканский перинатальный центр Республики Карелия. 185003, Россия, Петрозаводск, ул. Л.Толстого, д. 36
*yastrebovmich@yandex.ru
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E.Yu.Shakurova, M.A.Yastrebov*
Republican Perinatal Center. 185035, Russian Federation, Petrozavodsk, ul. L.Tolstogo, d. 36
*yastrebovmich@yandex.ru