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2007, nr. 3 - Academia de Ştiinţe a Moldovei

2007, nr. 3 - Academia de Ştiinţe a Moldovei

2007, nr. 3 - Academia de Ştiinţe a Moldovei

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3. CURE Study Investigators. The Clopidogrel in Unstable Angina to Prevent Recurrent Events(CURE) trail programme // Eur. Heart J., 2000; 21: 2033-2041.4. Fraisse F., Holzapfel L., Coulaud J., Nadroparin in the prevention of vein trombosis in acute<strong>de</strong>compresation COPD // Amer. J. Respir. Crit. Care Med., 2000; 161: 1109-1114.5. Keam J.S., Goar K.L., Fondaparinux – natrium // Drugs. 2002; 62(11): 1673-1685.6. Khan M.G., Palmer L.B., Pulmonary embolism // Pulmonary disease diagnosis and therapy. Apractical approach. Eds.M.G.Khan, J.P. Lynch. Baltimore: Williams and Wilkins, 1997: 585-601.7. Kujanh., Spannagel U.., Habscheid W., Inci<strong>de</strong>nce and prophylaxis of <strong>de</strong>ep venous thrombosisin outpatients with injury of lower limb // Haemostasis, 1993; 23: 20-26.8. Nicolai<strong>de</strong>s A., Breddin H., Fareed J., Prevention of venous thromboembolism: internationalConsensus Statement Gui<strong>de</strong>lines compiled in accordance with the scientifi c evi<strong>de</strong>nce. // Int. Angiol.,2001; 20:1-37.9. Pottier P.,Planchon B., Truchaud F., Retionalisation <strong>de</strong>s facteus <strong>de</strong> la maladie thromboliqueveineuse en milieu medical polyvalent hospitalier: une etu<strong>de</strong> prospective // J.Mal.Vac., 2000; 25:241-249.10. Pulmonary embolism - new paradigms in diagnosis and therapy // Chest., 2001; 120: 1556-1561.11. The Sixth (2000) ACCP Gui<strong>de</strong>lines of Antithrombolitic Therapy for Prevention and Treatmentof Thrombosis // Chest., 2001; 119 (Suppl. 1): 370 p.RezumatAu fost analizate meto<strong>de</strong>le tradiţionale <strong>de</strong> diagnosticare a tromboemboembolismului pulmonar(ECG, Ecocardiografia cu Doppler, radiogragia cutiei toracice, pletismografia) şi astfel <strong>de</strong> meto<strong>de</strong>contemporane <strong>de</strong> diagnostic instrumental, cum sunt <strong>de</strong>terminarea D-Dimerului sagvin, scintigrafiaventilaţional-perfuzională cu introducerea intravenos a macrosferelor albuminei, marcate cu Tc-99m;angiopulmonografia, scanarea Doppler color, flebografia radionuclidă cu Tc-99m. S-a elaborat algoritmuldiagnosticului în cazul suspecţiei la tromboembolie a arterei pulmonare masive şi nemasive,s-au stabilit posibilităţile diagnosticului instrumental al maladiei date.SummaryThere were analyzed the traditional methods of diagnostics of pulmonary embolism (X-rays,ECG,ecocardiography with Doppler, pletismography) and such contemporary methods as are D-Dimer<strong>de</strong>termination, ventionational-perfuzional scintigraphy with Tc-99m intravenous introduction,angiopulmonography, Dupplex Doppler color, phlebography with Tc-99m.There were created diagnostic algorythm for masive and non-masive pulmonary embolisminstrumental diagnostics, its posibilities and perspectives.ABORDĂRI CONTEMPORANE ALE FIBROZEI PULMONAREIDIOPATICE (Revistă a literaturii)Victor Botnaru, dr. h. în medicină, prof. univ., Doina Rusu, asist. univ.,Oxana Munteanu, secundar clinic, Vladimir Vataman, dr. în medicină., prof. univ.,USMF „Nicolae Testemiţanu”Afecţiunile cu îngroşarea difuză a pereţilor alveolari sunt <strong>de</strong>numite pneumopatii interstiţialedifuze (PID). Din acest grup mare şi heterogen <strong>de</strong> boli prin <strong>de</strong>finiţie sunt excluse leziunile maligne[1,7].Este utilă divizarea PID în grupul celor cu etiologie cunoscută şi celor cu etiologie necunoscută(fi g. 1).Dintre factorii etiologici ce provoacă fibrozarea alveolară difuză cei mai cunoscuţi sunt pul-195

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