jofinЖурнал инфектологииJournal Infectology2072-6732IPO “АIDSSPbR"10.22625/2072-6732-2022-14-3-45-49jofin-1396Research ArticleОригинальное исследованиеOriginal ResearchРазвитие спонтанных межмышечных кровотечений у пациентов с новой коронавирусной инфекцией в инфекционном стационареThe development of spontaneous intermuscular bleeding in patients with a new coronavirus infection in an infectious disease hospitalНесвитЕ. М.NesvitE. M.

Несвит Евгения Михайловна – врач-хирург хирургического отделения.

Санкт-Петербург, тел.: +7-911-709-16-49

Saint-Petersburg

evgenianesvit@gmail.comМедведевК. В.MedvedevK. V.

Медведев Константин Валерьевич – главный хирург Клинической инфекционной больницы  им. С.П. Боткина, доцент кафедры факультетской хирургии им. профессора А.А. Русанова  Санкт-Петербургского ГПМУ, кандидат медицинских наук

Санкт-Петербург; тел.: +7-921-993-92-58

Saint-Petersburg

meddoc76@yandex.ruЕрофеевА. А.ErofeevA. A.

Ерофеев Александр Алексеевич – заместитель главного врача по хирургии, кандидат медицинских наук.

Санкт-Петербург; тел.: +7-921-955-04-58

Saint-Petersburg

aerofeev1963@gmail.comПротченковМ. А.ProtchenkovM. A.

Протченков Михаил Александрович – доцент кафедры факультетской хирургии им. профессора А.А. Русанова Санкт-Петербургского ГПМУ, заместитель главного врача по хирургии Городской больницы № 26, доктор медицинских наук.

Санкт-Петербург; тел.: +7-911-913-67-98

Saint-Petersburg

cooperit@mail.ruКлиническая инфекционная больница им. С.П. БоткинаРоссияClinical Infectious Hospital named after S.P. BotkinRussian FederationКлиническая инфекционная больница им. С.П. Боткина; Санкт-Петербургский государственный педиатрический медицинский университетРоссияClinical Infectious Hospital named after S.P. Botkin; Saint-Petersburg State Pediatric Medical UniversityRussian FederationГородская многопрофильная больница № 2РоссияCity Hospital № 2Russian FederationСанкт-Петербургский государственный педиатрический медицинский университет; Городская многопрофильная больница № 26РоссияSaint-Petersburg State Pediatric Medical University; City Hospital № 26Russian Federation202221102022143спецвыпуск4549Copyright © Несвит Е.М., Медведев К.В., Ерофеев А.А., Протченков М.А., 20222022Несвит Е.М., Медведев К.В., Ерофеев А.А., Протченков М.А.Nesvit E.M., Medvedev K.V., Erofeev A.A., Protchenkov M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.niidi.ru/jofin/article/view/1396

На сегодняшний день новая коронавирусная инфекция остается одной из самых актуальных проблем современной медицины. У пациентов, требующих стационарного лечения, достаточно часто имеет место развитие различных внелегочных осложнений. Работа посвящена исследованию спонтанных гематом различной локализации на фоне тяжелого течения новой коронавирусной инфекции, проходивших лечение в условиях инфекционного стационара в период 2020– 2021 гг. За этот период у 17 пациентов отмечались появление спонтанных гематом различных локализаций (передняя брюшная стенка, забрюшинное пространство, шея, бедро, грудная клетка). Исследована эффективность инструментальной диагностики, в качестве оптимального метода признана компьютерная томография в сосудистом режиме, помогающая идентифицировать не только расположение гематомы, но и в ряде случаев ее источник. Описаны основные принципы тактики выбора методов гемостаза (медикаментозный, механический, хирургический) для достижения его стойкой эффективности.

Today the new coronavirus infection remains one of the most important problems of modern medicine. Among patients requiring hospital treatment, the development of various extrapulmonary complications is quite common. The work is devoted to the study of spontaneous hematomas of various localization against the background of a severe course of a new coronavirus infection treated in an infectious hospital in the period from 2020 to 2021. During the selected time, 17 patients had spontaneous hematomas of various localizations (anterior abdominal wall, retroperitoneal space, neck, hip, chest). The paper investigates the effectiveness of instrumental diagnostics – computed tomography in vascular mode is recognized as the optimal method, which helps to identify not only the location of the hematoma, but also in some cases its source. The basic principles of the tactics of choosing methods of hemostasis (medical, mechanical, surgical) to achieve its sustained effectiveness are described.

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The authors declare that there are no conflicts of interest present.