[Diagnosis and treatment of inferior vena cava thrombosis].

A total of 572 patients with acute thrombosis in deep veins of the inferior vena cava system were treated in the Department of Vascular Surgery. X-ray contrast retrograde iliocavography (XICG) revealed 96.5 % cases of iliocaval segment thrombosis. Signs of thromboembolism in pulmonary artery branches (TELA) were detected by angiopulmonography (APG) in 92.3% cases. Thrombectomy was undertaken in 62 (39.7%) of the patients, venous clipping or placation without thrombectomy were performed in 94 (60.3%) ones. All operated patients experienced regress of clinical symptoms of deep vein thrombosis in the absence of TELA and were discharged in good clinical condition. It is concluded that surgical techniques for the prevention of TELA should be chosen on an individual basis taking account of thrombus character and location detected by central duplex scanning, XICG and APG.

[Symptom-free phlebothrombosis and hereditary thrombophilia in patients with a skeletal injury].

The authors have studied the frequency of revealing phlebothrombosis of the system of the inferior vena cava (IVC) in the acute period of a mechanical injury by means of coloured duplex scanning (CDS). Formulated herein are both treatment policy and principles of prevention of thromboembolic complications in severe lesions of the locomotor system. Carried out was a screening sonographic examination of the IVC bed in a total of 137 injured people on days 3 and 7 after a skeletal wound. Of these, 24 patients who later on were diagnosed with phlebothrombosis signs underwent the molecular genetic testing of DNA by means of the polymerase chain reaction (PCR) in order to determine hereditary predisposition to thrombogenesis (genetically conditioned thrombophilia). It was found that the incidence rate of symptom-free thrombosis of the IVC bed in those presenting with fractures of pelvic bones and lower extremities amounted to 17.5%. As surgical prevention suggested herein is the authors' technique of IVC clipping.

[Role of autonomic dysfunction syndrome in the etiology of pre-stroke forms of cerebrovascular pathology in women of young age]. / Rol' sindroma vegetativnoi distonii v geneze doinsul'tnykh form tserebrovaskuliarnoi patologii u zhenshchin molodogo vozrasta.

30 women aged 30-45 years with the diagnosis "initial manifestations of insufficiency of cerebral circulation" were examined. These disorders were observed on the background of the syndrome of autonomic dysfunction. Correlative analysis was performed by means of methods which permitted quantitative estimations on the basis of investigation of the severity of the syndrome, peculiarities of the patients' mental state and cerebral hemodynamics. Pronounced correlation was found between hemodynamic indices and the degree of anxieties. Anxiety plays an inducing role in the development of either autonomic dysfunction or the main vascular disorders. The syndrome of autonomic disfunction was considered as the realising factor.