OUR METHOD OF TREATING FATTY THROMBOEMBOLISM IN FRACTURES OF THE LONG TUBULAR BONES OF THE LIMB
DOI:
https://doi.org/10.54890/1694-8882-2024-4-118Abstract
This article is devoted to our own method of treating fatty thromboembolism in a clinical emergency hospital for fractures of long tubular bones of the limb, including complex anticoagulant and fibrino-thrombolytic therapy using heparin, fibrinolysin, aspirin and rheopolyglucin, as well as vascular drugs and antispasmodics, where additional hypolipidemic, decongestant, antienzymatic, dehydration, antibacterial therapy, using vaselip, pentoxifylline, magnesium sulfate, fraxiparine, furosemide, cephalosporin. The article examines the effectiveness and safety of the developed method of treating fat thromboembolism in fractures of long tubular bones of the extremities. Clinical cases and research results are highlighted that demonstrate the effectiveness and safety of the selected methods in the context of minimizing risks to patients. The presented data indicate a significant improvement in the prognosis for patients with fat thromboembolism in the context of long bone fractures, which makes this study relevant in medical practice. Results confirming the effectiveness and safety of this approach are demonstrated, and the prospects for its use in clinical practice are discussed. This article is intended to provide practicing physicians and specialists in the field of orthopedics and traumatology with a comprehensive understanding and modern approaches to the treatment of this complication.
Keywords:
fatty embolism, fractures, fracture treatment methods, tubular bonesReferences
1. Леонов С.А. , Огрызко Е.В., Зайченко Н.М. О некоторых особенностях травматизма в Российской Федерации. Социальные аспекты здоровья населения. 2009;3(11). Режим доступа: http://vestnik.mednet.ru/content/view/143/30/ lang,en/.
2. Рано умирать. Проблемы высокого уровня заболеваемости и преждевременной смертности от инфекционных заболеваний и травм в Российской Федерации и пути их решения. М.:Алекс; 2006. 147 с. Режим доступа: https://documents1.worldbank.org/curated/en/20 1881468296681271/pdf/ 323770SR0RUSSI00Box338915B00PUBLIC0.pdf
3. Андреева Т.М. Травматизм в Российской Федерации на основе данных статистики. Социальные аспекты здоровья населения. 2010;16(4):1-10.
4. Ташматов А.М. Тактико-технические ошибки оперативного лечения переломов костей конечностей. Вестник КГМА им. И.К. Ахунбаева. 2015;1:178-180.
5. Дерябин И.И. Травматическая болезнь и метаболизм. Вестник хирургии. 1984;6(131):61–65.
6. Чечеткин А.В., Цыбуляк Г.Н. Инфузионно-трансфузионная терапия при синдроме жировой эмболии. Трансфузиология. 2003;2:42–51.
7. Штейнле А.В. Синдром жировой эмболии (аналитический обзор). Сибирский медицинский журнал 2009;2:117–126.
8. Johnson MJ, Lucas GL. Fat embolism syndrome. Orthopedics. 1996;19:41-48. https://doi.org/10.3928/0147-7447-19960101-09
9. Kontakis GM, Tossounidis T, Weiss K, Pape HC, Giannoudis PV. Fat embolism: special situations bilateral femoral fractures and pathologic femoral fractures. Injury. 2006;37:19–24. https://doi.org/10.1016/j.injury.2006.08.037