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},
"code": "I77.6",
"name": "Артериит неуточненный",
"icd_name": "Артериит неуточненный",
"gender": 0,
"age_min": 1,
"age_max": 100,
"cause": [
"0"
],
"periodicity": 1,
"slug": "i77.6_arteriit_neutochnennyy",
"lead": "группа заболеваний, обусловленная иммунопатологическими воспалительными процессами, происходящими в кровеносных сосудах",
"description": "",
"etiology": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Ключевым звеном большинства случаев поражения артерий выступают идиопатические аутоиммунные нарушения, повреждения сосудистой стенки при системных болезнях соединительной ткани. К предрасполагающим факторам развития васкулита относятся следующие:</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Отягощенная наследственность. Связь патологии с расовой принадлежностью, а также нередкие семейные случаи заболевания позволяют установить влияние генетических факторов на формирование артериита. Повышенный риск болезни обусловлен носительством определенных генов главного комплекса гистосовместимости (HLA).</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Инфекционные заболевания. В этом случае поражение артерий развивается как осложнение инфекционного процесса любой локализации. Чаще всего предпосылкой артериита выступают бактериальные (стрептококковый фарингит, сифилис, туберкулез), вирусные процессы (грипп, герпетические инфекции, вирусные гепатиты, сыпной тиф).</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Ятрогенные факторы. В качестве триггера манифестации артериита нередко выступает вакцинация, введение сывороток с целью иммунизации или лечения инфекционных болезней, применение некоторых лекарств. При этом негативные последствия являются индивидуальной реакцией организма на препарат, и они не связаны с врачебной ошибкой.</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Прочие причины. Пусковым фактором аутоиммунного процесса изредка выступают экзогенные влияния: повышенная инсоляция, переохлаждение, резкая смена климата и/или часовых поясов. У женщин нарушения иммунной системы нередко провоцируются циклическими гормональными изменениями, беременностью, менопаузой.</span></li>\r\n</ul>\r\n<p> </p>\r\n<p><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> </span></p>",
"pathogenesis": "",
"diagnostics": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Основные диагностические методы, позволяющие обнаружить артериит:</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Сбор анамнеза;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Общий осмотр больного, измерение пульса, аускультация сердца и легких,</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Общий и биохимический анализ крови — повышение СОЭ и С-реактивного белка, умеренная анемия;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">УЗИ сосудов;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Биопсия артерии — выявление многоядерных гигантских клеток;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Артериография;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Осмотр глазного дна;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Офтальмоскопия – обнаружение ишемического неврита глазного нерва.</span></li>\r\n</ul>",
"treatment": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Консервативная терапия</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Основу терапии артериитов составляют медикаментозные методы, которые направлены на коррекцию иммунологических нарушений, стабилизацию общего состояния больного, предупреждение осложнений. Подбирается персонализированная схема фармакотерапии с учетом вида артериита, наличия сопутствующих патологий. Применяются такие группы препаратов:</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Кортикостероиды. Лекарства первой линии для подавления гиперергических реакций иммунной системы, снижения продукции аутоантител и провоспалительных цитокинов. В зависимости от тяжести состояния назначается пульс-терапия и/или длительная схема приема гормональных препаратов.</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Цитостатики. Медикаменты используются как дополнение к кортикостероидной терапии, чтобы усилить иммуносупрессивный эффект, быстрее достичь клинико-лабораторной ремиссии.</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Биологические препараты. Моноклональные антитела, которые инактивируют провоспалительные факторы, показывают хорошую эффективность для купирования острых симптомов артериита. Подобные лекарства имеют щадящее действие, по сравнению с цитостатиками.</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Антиагреганты. Для коррекции показателей свертывания крови эффективны вазодилатирующие средства, препараты из групп НПВС. С целью ликвидации и профилактики тромбозов рекомендованы лекарства из группы антикоагулянтов.</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Противомикробные средства. Антибиотики, противовирусные, противопротозойные лекарства требуются для ликвидации инфекций, вызывающих вторичный артериит.</span></li>\r\n</ul>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">При аутоиммунном воспалении артерий для снижения числа циркулирующих иммунных комплексов, аутоантител, цитокинов проводится экстракорпоральное очищение крови. С этой целью применяются методики плазмафереза, криоафереза, каскадной фильтрации плазмы. При почечной недостаточности пациенты переводятся на гемодиализ, который обеспечивает выведение токсических метаболитов из организма.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Хирургическое лечение</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Поскольку поражение артерий чревато утолщением их стенки или закупоркой тромбом при критическом снижении кровотока в поврежденном участке сосуда показано хирургическое вмешательство. С учетом локализации стенозированного участка возможно проведение эндартерэктомии, чрескожной ангиопластики, обходного шунтирования. При сопутствующем поражении клапанного аппарата крупных сосудов (аорты, легочной артерии) выполняется замена клапанов.</span></p>\r\n<p><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> </span></p>",
"prevention": "<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">В основе профилактики артериита лежит ранняя диагностика и терапия болезней, которые могут стать пусковым фактором его развития. Также больным рекомендуется соблюдение противоэпидемических мер, избегание необоснованного приема лекарств, исключение чрезмерной инсоляции. </span></p>",
"clinical_picture": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Врачи выделяют несколько основных типов артериита: гигантоклеточный, Такаясу и нижних конечностей. Каждый из них имеет ряд специфических симптомов. При гигантоклеточном или височном артериите заболевание затрагивает сосуды в области глаз, висков и даже позвоночника. При этом пациент жалуется на:</span></p>\r\n<ul style=\"margin-top: 0; margin-bottom: 0; padding-inline-start: 48px;\">\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">падение остроты зрения;</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">пульсирующие головные боли;</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">помутнение в глазах;</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">общее недомогание;</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">повышение температуры тела;</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">потерю аппетита.</span></li>\r\n</ul>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Помимо этого, у человека с такой формой артериита опускается веко на глазу, расположенном рядом с пораженным сосудом. Как правило, такой тип заболевания беспокоит в подавляющем большинстве случаев людей старшего возраста.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">При артериите нижних конечностей появляются болезненные ощущения в ногах. Симптом значительно усиливается после длительной ходьбы и физических нагрузок. Помимо этого, у больного постоянно мерзнут ноги, даже если на них теплые носки.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Самой редкой формой считается артериит Такаясу или неспецифический аортоартериит. При этом заболевании поражаются артерии в области рук, а также сосуды, который отвечают за кровоснабжение головного мозга. Распознать такую болезнь можно по следующим симптомам:</span></p>\r\n<ul style=\"margin-top: 0; margin-bottom: 0; padding-inline-start: 48px;\">\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">головокружения;</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">слабость в руках;</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">отсутствие пульса в пораженной области;</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">разность артериального давления в руках;</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">головные боли.</span></li>\r\n</ul>",
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"description": "Флебит – это заболевание вен, при котором происходит воспаление их сосудистых стенок. Преимущественно актуально это заболевание для области нижних конечностей. \r\nТромбофлебит же собой представляет воспаление вены в таком варианте, течение которого сопровождается появлением тромбов. ",
"etiology": "<p>Чаще всего в качестве причин, провоцирующей развитие флебита и тромбофлебита, выделяют: </p>\r\n<ul>\r\n<li>варикозное расширение вен; </li>\r\n<li> избыточный вес; </li>\r\n<li>гиподинамия (состояние, провоцируемое нехваткой двигательной активности); </li>\r\n<li>длительность пребывания в стоячем положении; </li>\r\n<li>запоры в хронической форме течения этого заболевания. </li>\r\n</ul>\r\n<p>Развитие тромбофлебита также возможно и в результате воздействия аллергической реакции, что определяет такую его разновидность, как аллергический флебит, помимо этого возможно развитие заболевания и в качестве осложнения, возникающего после родов – в этом случае речь идет уже о болевом флебите. Не исключаются и такие случаи, при которых тромбофлебит возникает при инфекционном поражении вены или при ее травмировании, что подразумевает под собой нарушение целостности в ее сосудистой стенке. </p>",
"pathogenesis": "<p>Для возникновения тромбофлебита нужно присутствие одного или нескольких факторов из трех (т.н. триада Вирхова): </p>\r\n<ol>\r\n<li>Повреждение стенки вены (может быть как механическим, вследствие травмы, так и химическим – ожог при введении концентрированных препаратов, наркотических веществ) </li>\r\n<li>Нарушение реологических свойств крови (повышение свертываемости, вязкости и т.п.). Это бывает при обезвоживании, некоторых заболеваниях, гормональных, генетических нарушениях. </li>\r\n<li>Замедление кровотока в вене (при сдавлении вены, ограничении движений (например, при ношении гипсовой повязки)). </li>\r\n</ol>\r\n<p>Под действием одного или нескольких факторов происходит образование тромба в просвете сосуда и воспаление его стенки. Пример: при серьезной травме ноги присутствуют все три фактора – механическое повреждение (надрывы стенки вены вследствие удара), повышение свертываемости (вследствие кровопотери), замедление кровотока (отек тканей, наложение гипса). </p>\r\n<p>Обычно при тромбофлебите поверхностных вен поражается одна вена, воспаление также может распространяться и на ее притоки. Известен мигрирующий тромбофлебит – при нем происходит последовательное воспаление нескольких вен на разных участках конечностей. Такой тромбофлебит требует дополнительной диагностики для исключения онкологических процессов или генетических нарушений свертываемости. </p>",
"diagnostics": "<p>Физикальное обследование: </p>\r\n<ul>\r\n<li>Болезненный плотный инфильтрат в виде шнура по ходу подкожной вены. </li>\r\n<li>Над инфильтратом возможна гиперемия кожи с уплотнением подкожной клетчатки. </li>\r\n<li>При ходьбе - умеренная болезненность. </li>\r\n<li> Температура тела субфебрильная. </li>\r\n</ul>\r\n<p>Лабораторные исследования: признаки воспаления (лейкоцитоз, ускоренное СОЭ). </p>\r\n<p>Инструментальные исследования Дуплексное сканирование вен - позволяет определить истинную границу тромба, так как она может не совпадать с границей, определяемой пальпаторно. Тромбированный участок вены становится ригидным, просвет его неоднороден, кровоток не регистрируется. </p>",
"treatment": "<p>Необходимо применять эластические компрессионные бинты, чулки, колготки как дополнение к медикаментозному лечению больных. Все пациенты с ТГВ должны носить эластические компрессионные чулки для снижения риска развития посттромботического синдрома. </p>\r\n<p>Системная консервативная терапия осуществляется с применением нестероидных противовоспалительных фармпрепаратов в комбинации со средствами, уменьшающими проницаемость венозной стенки. </p>\r\n<p>Антикоагулянтную терапию рекомендуется проводить при симультантном тромбозе глубоких вен или при развитии восходящего тромбофлебита у пациентов с ограничением показаний для оперативного лечения, при возникновении посттромбофлебитического синдрома. </p>\r\n<p>В первоначальные несколько дней заболевания рекомендуется локальное применение холода, эластичная компрессия больной конечности (эластичное бинтование), нанесение мазей, в составе которых содержатся нестероидное противовоспалительное средство и гепарин (категорически недопустимо применение мазевых компрессов, которые ограничивают теплоотдачу и могут способствовать прогрессированию заболевания). </p>\r\n<p> </p>",
"prevention": "<p>Чтобы избежать появления тромбофлебита нужно вести здоровый образ жизни. Необходимо своевременное лечение варикозной болезни. Следует избегать травм, обезвоживания. Несколько повышает риск развития тромбофлебита прием гормональных контрацептивов. При появлении первых симптомов нужно срочно обратиться к врачу – это позволит эффективно лечить заболевание и избежать осложнений. <br class=\"SCXW95579271\" /> <br class=\"SCXW95579271\" /> <br class=\"SCXW95579271\" /> <br class=\"SCXW95579271\" /> </p>",
"clinical_picture": "<p>Тромбофлебит поверхностных вен нижних конечностей </p>\r\n<ul>\r\n<li>Начинается с варикоза, отчего симптоматику патологии невозможно спутать с каким-либо другим заболеванием. </li>\r\n<li>Помимо болевых ощущений, которые зачастую возникают именно в том месте, где произошло уплотнение стенок с образованием кровяных сгустков, у больного отмечается повышенная температура тела. К числу сопутствующей симптоматики относят увеличение лимфоузлов. </li>\r\n<li>Пораженные вены можно обнаружить при пальпации. Как правило, кожные покровы в этих местах приобретают красный оттенок, а при ощупывании места можно обнаружить характерное уплотнение, причем при визуальном рассмотрении нередко отмечается припухлость. При пальпации больного мучают сильные боли. </li>\r\n</ul>\r\n<p>Флебит и тромбофлебит глубоких сосудов нижних конечностей </p>\r\n<ul>\r\n<li>Характеризуются болевыми ощущениями, в особенности при опускании ноги. В этот же момент больной часто ощущает распирание, что может сопровождаться повышением температуры кожных покровов в месте поражения. </li>\r\n<li>Вследствие развития патологии человек замечает у себя набухание и изменение оттенка кожных покровов на синий. Уже на вторые сутки от начала заболевания ноги больного «покрываются» соответствующей венозной и сосудистой сеткой, которая не только портит внешний вид, но и доставляет дискомфорт. </li>\r\n<li>Так, при ходьбе и в статичном положении человек страдает от болевого синдрома, в то время, когда при сжимании с передней и задней стороны наступает нестерпимая боль. При этом также отмечается, что сжимания со сторон не доставляет неудобств. </li>\r\n</ul>\r\n<p>Бедренной вены </p>\r\n<ul>\r\n<li>Проявляется набуханием и покраснением поверхности с внутренней стороны бедра; </li>\r\n<li>здесь же отмечается боль и разбухание подкожных вен; </li>\r\n<li>поражения общей бедренной вены сопровождается распуханием венозной системы, набуханием, покраснением, повышением температуры тела, лихорадкой, а также острой болью. </li>\r\n</ul>\r\n<p>Тромбофлебит подвздошно-бедренного участка магистральной вены </p>\r\n<ul>\r\n<li>характеризуется болевыми ощущениями в области поясницы и крестца, нередко присутствует боль с одной стороны живота; </li>\r\n<li>причем болевой синдром может быть ярко выраженным при полном перекрытии сосуда, и слабо выражен в случае частичного перекрытия. </li>\r\n</ul>\r\n<p>Глубоких вен </p>\r\n<ul>\r\n<li>Также проявляется в зависимости от локализации и расположения тромба. Более того, представленные поражения проявляются лишь незначительными болевыми ощущениями и малой отечностью, что затрудняет диагностирование заболевания. </li>\r\n<li>При отсутствии своевременного лечения глубокие тромбозы открываются, что провоцирует развитие тромбоэмболии легочных артерий. </li>\r\n<li>Опасность тромбоэмболии заключена в ее стремительном течении и размером тромба. Если отрывается тромб больших размеров, смертельный исход наступает в течение получаса. </li>\r\n</ul>",
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