Clinical, general, hemocoagulation and pathologicanatomical features of patients with moderate and severe community acquired pneumonia by the data of retrospective analysis
Journal: Medicni perspektivi (Vol.22, No. 3)Publication Date: 2017-10-11
Authors : Pertseva T.A. Kireyeva T.V. Bielosludtseva K.O. Kryhtіna M.A.;
Page : 17-24
Keywords : community acquired pneumonia; complications; thrombosis;
Abstract
According to literature data, patients with community acquired pneumonia (CAP) fall into several groups of unfavorable prognostic factors. Development of thrombotic complications is one of causes of mortality of hospitalized patients. In this case systemic inflammation, which is always present in moderate and severe CAP, is the starting mechanism of formation of disorders in the hemostasis system. The aim of our work was to determine anamnestic, clinical, laboratory and pathologic anatomical features in patients with CAP, taking into account markers of systemic inflammation and coagulogram indices, as well as predicting the occurrence of complications. In the course of the work, a retrospective analysis of 151 medical histories of hospitalized patients with CAP was made. We analyzed anthropometric indicators, complaints at the time of hospitalization, results of physical examination, results of the chest X-ray, clinical and laboratory indicators, microbiological sputum analysis and to assess the possibility of thrombotic complications a RAM scale was used. It was found that late asking for medical help, the presence of mixed infection, underestimation of the severity of condition and severe systemic inflammation increase the risk of lethal outcome in patients with CAP. Considering a high risk of thrombosis in patients with CAP, it is necessary to assess the risk of thrombotic complications with the help of special scales, as well as timely detection and correction of disorders from the hemostasis system.
Other Latest Articles
- The comparative analysis of antiparkinsonian activity of glycine combined with amantadine in conditions of changing neurosynaptic transmission
- Experimental evaluation of the influence of gold nanoparticles and cerium dioxide on normal and malignant cells and tissues
- Model Kepercayaan Konsumen Pada Situs e-Commerce
- Penyelesaian Persamaan Poisson 2D Dengan Menggunakan Metode Gauss-Seidel dan Conjugate Gradien
- Peran Optimalisasi Pemberdayaan Nelayan Terhadap Peningkatan Usaha (Studi pada KUB-KUB Nelayan di Kabupaten Pati)
Last modified: 2017-10-27 17:09:32