METHOD FOR PREVENTING THROMBOEMBOLIC COMPLICATIONS IN PATIENTS WITH MULTIPLE FRACTURES OF LIMB LONG BONES

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to traumatology, and represents a method for prevention of thromboembolic complications (TEC) in patients with multiple fractures of limb long bones, differing by the fact that after patient withdrawal from traumatic shock, stabilization of hemodynamics values and analysis of "Trombodynamics" in case of bleeding development threat, preoperative preparation is performed without anticoagulant, in the absence of signs of hypercoagulation, sodium enoxaparin is administered to a patient in a standard dosage of 40 mg, with hypercoagulation, with a fibrin clot growth rate greater than 29 mcm/min, dosage is increased to 60 mg, in severe cases, with the formation of spontaneous clots, sodium enoxaparin dose is increased to 80 mg a day, on 3^rd postoperative day, the patients with thrombosis risk undergo a follow-up examination – ultrasound Doppler ultrasonography (USDU), if necessary, adjusting the dose of sodium enoxaparin, on 5^th postoperative day, analyzes are carried out: coagulogram, D-dimers, FBC, "Thrombodynamics", with a high risk of thrombosis on 3^rd-4^th day, USDU vein of lower extremities is administered, and if thrombosis or thrombosis of any localization is prescribed therapeutic doses of heparin, if USDU is determined by the presence of thrombosis with signs of flotation – thrombectomy.;EFFECT: technical result of the invention is reducing the risk of TEC.;1 cl, 13 dwg, 3 ex