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Background. Deep vein thrombosis of lower extremities and pulmonary embolism have common pathogenic roots and are the most common cause of poor blood circulation. Several factors that contribute to the development of thrombosis in the venous system are identified and must be taken into consideration in the process of preparing for surgery. Material and methods. 472 patients were examined and operated in departments of surgery of municipal institution of Ternopil regional council Ternopil University Hospital in 2010-2014. In the process of surgical treatment thromboprophylaxis was applied according to sectoral protocols [1]. Results. In postoperative period t hrombotic process in the system IVC was diagnosed in 96 (20.34%) patients. The incidence of postoperative thrombosis in the IVC system was directly related to the risk of the venous thromboembolic complications. dysplasia; in 27 (45.1%) observations detected asthenic type of constitution, in 18 (36.6%) – hypermorbid syndrome, in 31 (57.7%) – varicose veins (class C1 – 27 cases, class C2 – 14 cases). In the laboratory study the indicators of metabolic products connective tissue level of total oxyproline exceeded the reference value at 41.77% (p <0.001), free oxyproline – by 46.85% (p <0.001), and bound oxyproline – 31.71% (p <0.001). Conclusions. Established that non-specific connective tissue dysplasia can be significant risk factor for postoperative venous thrombosis in the system inferior vena cava.
Neurological symptoms as the result of non-typical course of superficial cerebral veins are described in available literature very rarely. The case described below indicates that in some circumstances the compression symptoms derived from the cerebral cortex may be incredibly more serious than their anatomical reasons. In our observation a young woman was described complaining of paroxysmal numbness of the left upper limb with paraesthesiae of the left side of the face, the left eye and left half of the tongue. The patient said that in childhood she used to have paroxysmal itching of the left hand. She also said that CT of the head made a few years ago after a car accident was without pathological changes. Neurological examination, x-ray of the skull and EEG test performed during first visit proved normal. After one year of the disease, Jackson-type epilepsy, combined with loss of sensation of the left half of the face for the first time, was present. Neurological and ophthalmological examination of the bottom of the eye proved normal. Skull x-ray was normal. Then disturbances of the vision in the left half of the field appeared. EEG was still in norm. The MRI test showed the asymmetry in the course and dilated superficial vein between the basis of the right temporal lobe and the tentorium of the cerebellum. The diameter of this vein was 2.5 mm, but there were no vascular malformations. Bottom of the eye was normal, but in the field of vision the white and red colours were dominated.
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