ДИНАМІКА МАРКЕРІВ ФІБРИНОЛІЗУ У ПАЦІЄНТІВ З ПІДВИЩЕНИМ ІНДЕКСОМ МАСИ ТІЛА ПРИ ПОЛІТРАВМІ
The aim of our work was to analyze the dynamics of fibrinolysis markers in patients with an increased body mass index with polytrauma (IBMI). A study of complex hemostasiograms was carried out in 224 patients with IBMI during the month of hospital stay with a diagnosis of Polytrauma and on the 360th control day of the outpatient visit, which included the study of fibrinolysis indices: fibrinolysis (spontaneous) and soluble fibrin-monomeric complex (SFMK). Patients had the same severity at the time of admission on the APACHE II scale of 14 ± 5.8 and were divided into 3 clinical groups, depending on the starting BMI numbers. Thus, in patients with IBMI with polytrauma, dynamic disturbances in the fibrinolysis system were identified, which correspond to the course of the traumatic disease and significantly affect the functioning of the hemostasis system as a whole.
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