Аннотация
Тромбоэмболия легочной артерии (ТЭЛА) у детей представляет собой очень сложное жизнеугрожающее состояние, сопровождающееся тяжелыми клиническими проявлениями и значимой смертностью. Поскольку ТЭЛА в детской популяции довольно редкое заболевание, в настоящее время существует лишь небольшое количество публикаций в медицинской литературе, в которых анализируются эпидемиология, клинические проявления и особенности ведения этих пациентов. Высокие заболеваемость и летальность обусловлены тем, что своевременная верификация ТЭЛА крайне затруднительна в связи с возможностью длительного периода бессимптомного течения болезни у детей. Поскольку в мировой практике отсутствуют разработанные и принятые рекомендации по ТЭЛА у детей, большинство специалистов используют критерии, разработанные для взрослых пациентов. Сложной проблемой остается вопрос определения показаний к интервенционному и хирургическому лечению детей с ТЭЛА, особенно при развитии хронической тромбоэмболической легочной гипертензии.
Литература
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Об авторах
- Горбачевский Сергей Валерьевич, д-р мед. наук, профессор, гл. науч. сотр., профессор кафедры сердечно-сосудистой хирургии; ORCID
- Гренадеров Михаил Александрович, врач – сердечно-сосудистый хирург; ORCID
- Белкина Марианна Викторовна, канд. мед. наук, ст. науч. сотр.; ORCID
