Acute intestinal obstruction as a reason for thrombohaemorrhagic syndrome: several problems of diagnosis and treatment tactics

The research objective was to study change of hemostasis indicators in patients with acute intestinal obstruction (AIO) and developed thrombohaemorrhagic syndrome (THS), and to define the correspondence of X-ray and clinic-hemostasis data. Scientific analises were carried out on X-ray and clinic-laboratory data results of 32 surgical patients who had surgical treatment because of acute intestinal obstruction. Special importance was given to survey X-ray study of abdominal cavity while establishing intestinal obstruction diagnosis. Existence of Kloyber bowls in the aggregate with main clinical indices of acute intestinal obstruction enabled to establish final diagnosis and to take decision of necessary urgent surgical intervention. Condition of hemocoagulation-fibrinolytic system was studied for laboratory diagnosis of THS. It was defined that during AIO and developed THS change of hemostasis has hypercoagulation character and it requires immediate introduction of heparin preparations in treatment complex. Early diagnosis of AIO is important to take decision for immediate surgical intervention and to define the adjustment character of homeostasis disturbance. AIO diagnosis must be based upon combination of abdominal cavity bodies, X-ray data, pathological process clinics, general laboratory indicators and also coagulation system data.