Grichushenko I. Prevention of thromboembolic complications in patients with fractures of the long bones of the lower extremities.

The scientific work is dedicated to improving the complex treatment of patients with fractures of the long bones of the lower extremities. Based on the analysis of the spectrum and substance disorders of hemostasis inherent in this condition, including low expediency piezoelectric tromboelastohrafiyi for dynamic monitoring of hemostasis, functional tests with a double local hypoxia upper extremity to determine the reserve capacity of hemostasis and purpose LMWH enoxaparin, oral anticoagulant rivaroxaban in combination with mechanical methods. The effect of thromboprophylaxis on a comprehensive system of hemostasis. It is established that the proposed integrated circuit correction of hemostasis in patients with fractures of the long bones of the lower extremities reduces the severity of their condition, the number of thrombotic complications and period of stay in the ICU and in the hospital. Confirmed the safety of the proposed method. Developed and implemented practical recommendations on the diagnosis, prevention and correction of complex thrombotic complications in patients with fractures of the long bones of the lower extremities.