狸篪屦耱忸, 汨礤觐腩汨  疱镳钿箨鲨 玛膻麇 襄疱麇睃 忮潴 疱鲥礴桊箦禧 磬篦睇 骟痦嚯钼 桤溧龛 吕  
秒噔磬 鲤蹊 骟痦嚯 暑眚嚓螓 项滹桉赅

闲我嚷我形塘我茸叛世 闲卧人朗胰世 衔乱涡哇 闲泡仕捞涎壬 婆唾韧 倚翁廖匀巳派


企疣怆邂 ..
泥蜞 矬犭桕圉梃 磬 襦轵: 2014-08-14
念耱箫磬 蜞赕 镥鬣蝽铋 忮瘃梃 骟痦嚯
绣琬戾 | 项腠 蝈犟 | 殃圜囹 PDF
狸篪屦耱忸, 汨礤觐腩汨 疱镳钿箨鲨. 2014; N2: c.11-16

皱朦 桉耠邃钼囗 铞屙赅 翦牝桠眍耱 镳铗桠铗痤灬铗梓羼觐 镳铘桦嚓蜩觇 镱怛铕睇 陷 驽睐桧 蝠铎犷翳腓彘. 锑蝈痂嚯 戾蝾潲. 橡钼邃屙 镳铖镥牝桠眍 觌桧梓羼觐 桉耠邃钼囗桢 篦囫蜩屐 66 镟鲨屙蝾 蝠铎犷翳腓彘 (沐礤蜩麇耜铋, 镳桀狃弪屙眍 桦 耦麇蜞眄铋) 陷 囗囔礤珏: 35 钺疣蜩怿桢 , 耦铗忮蝰蜮屙眍, 磬躅羼 镱 磬 磬犭屙桢 翦痱桦钽 鲨觌 (镱溷痼镲 Ia), 31 钺疣蜩怿桢 磬 箧 狍潴麒 徨疱戾眄 ( 6 镱 13 礤. 沐耱圉梃) IIa 镱溷痼镲. 暑眚痤朦眢 沭箫矬 耦耱噔桦 50 驽睐桧 礤铗泐眄 嚓篪屦耜瞽汨礤觐腩汨麇耜桁 蝠铎犷蜩麇耜桁 囗囔礤珙. 义疣镨 镳钼钿桦囫: 吞 (铌襦镟痂), 忤蜞扈睇 沭箫稃 , 囗蜩铌耔溧眚 扈牮铐桤桊钼囗睇 镳钽羼蝈痤. 绣珞朦蜞螓 桉耠邃钼囗: 镟鲨屙蝾, 镱塍鬣怿桴 蝈疣镨 翦痱桦钽 鲨觌, 蝈麇龛 徨疱戾眄铖蜩, 嚓篪屦耜桢 镥痂磬蜞朦睇 桉躅潲 猁腓 塍鼬, 麇 沭箫镥 镟鲨屙蝾, 蝈疣镨 觐蝾瘥 猁豚 磬鬣蜞 忸 怵屐 徨疱戾眄铖蜩. 青觌屙桢: 潆 镳邃铗怵帙屙 镱怛铕眍 陷 镳 镱耠邃簋 徨疱戾眄铖蜩 礤钺躅滂祛 磬麒磬螯 蝈疣镨 翦痱桦钽 鲨觌, 镳钿铍驵 忸 怵屐 徨疱戾眄铖蜩, 痤漕 镱耠屦钿钼铎 镥痂钿. 义疣镨 漕腈磬 怅膻鬣螯 吞, 忤蜞扈睇 沭箫稃 , 囗蜩铌耔溧眚 扈牮铐桤桊钼囗睇 镳钽羼蝈痤.


ANTITHROMBOTIC PROPHYLAXIS REPEATED PREECLAMPSIA IN PATIENTS WITH THROMBOPHILIA Zhuravleva E.V.
First Moscow State Medical Sechenov University of the Ministry of Health Russian Federation
Abstract. Objective. To evaluate the efficiency of antithrombotic therapy to prevent repeated preeclampsia in patients with thrombophilia. Subject and methods. A prospective clinical study was conducted 66 patients with thrombophilia (genetic, acquired or concomitant) and with history of preeclampsia: 35 patients addressed and were followed since fertile cycle (subgroup Ia) and 31 patients addressed during pregnancy and were followed since 6-13 weeks of gestation IIa subgroup. Control group 50 patients without both obstetrics and gynecology and thrombotic complications in history. Therapy included LMWG (klexan), B vitamins, antioxidants and micronized progesterone. Results. The all period of pregnancy, obstetric and perinatal outcomes were better in patients receiving therapy since fertile cycle compared with group of patients whose therapy was initiated during pregnancy.Conclusion. To prevent re-PE at a subsequent pregnancy, the therapy should be start since fertile cycle, continuing during pregnancy, childbirth and the postpartum period. Therapy should include LMWH, B vitamins, antioxidants and micronized progesterone.
Key words: preeclampsia, antithrombotic therapy, LMWG, thrombophilia.