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Forensic and medical aspects of lethality from thromboembolytic complications of trauma, diseases and certain pathological conditions

Zharov, V.V.; Panov, I.E.; Shigeev, S.V.

Sudebno-Meditsinskaia Ekspertiza 46(4): 3-6

2003

ISSN/ISBN: 0039-4521
PMID: 12939833
Document Number: 556339
A total of 743 lethal outcomes of thromboembolytic complications of trauma, diseases and certain pathological conditions as observed in 1999-2001 and in the three quarters of 2002 were studied. The undertaken analysis confirmed two factors provoking the pathological thrombosis, i.e. 1. Pathological changes observed in the surface vascular wall preconditioned by mechanical damages, atherosclerotic process and aging; and 2. A slower blood flow due to an impaired blood circulation, a forced positioning and to hypodynamics. While deciding on a possibility of a direct cause-effect relation between past traumas, surgeries, poisonings and death of thromboembolism of the pulmonary arteries (TEPA), such relation can be mentioned only on rare occasions. It is more often the case that an indirect, mediated relationship is found, when TERA evolves due to an unfavorable combination of risk factors, i.e. a forced immobility, changing coagulated blood system, impaired blood vessels etc.

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