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The role of functional diagnostics methods in detecting right ventricular thrombosis and pulmonary artery thromboembolism in a patient with pneumonia. Clinical observation

https://doi.org/10.33667/2078-5631-2025-31-46-52

Abstract

Purpose of the study: exchange of experience in the diagnosis and treatment of severe pneumonia complicated by right ventricular thrombosis and the formation of an acute pulmonary heart.

Materials and methods. The clinical observation of the patient during inpatient treatment is presented on the basis of diagnostic studies, a comprehensive study of the medical history and an archive of medical documents.

Results. A clinical case of a 19-year-old patient is presented, in whom the initial symptoms of septic pneumonia were regarded as a manifestation of acute respiratory viral infection, but subsequently signs of rapidly increasing respiratory failure and manifestations of septic shock appeared.

Conclusion. Severe pneumonia remains a difficult disease to treat, requiring a multidisciplinary approach to diagnose and determine patient management tactics.

About the Authors

T. D. Malchenko
Federal State Budgetary Educational Institution of Higher Education «Altai State Medical University» of the Ministry of Health of the Russian Federation; Regional state budgetary healthcare institution «City Hospital No. 5, Barnaul»
Russian Federation

Tatiana D. Malchenko – Candidate of Sciences in Medicine, Associate Professor

Barnaul



Ya. N. Shoikhet
Federal State Budgetary Educational Institution of Higher Education «Altai State Medical University» of the Ministry of Health of the Russian Federation
Russian Federation

Yakov N. Shoikhet – MD, PhD, DSc (Med.), Professor, Corresponding member of the Russian Academy of Sciences, Professor of the Department

Barnaul



I. Ya. Tseimakh
Federal State Budgetary Educational Institution of Higher Education «Altai State Medical University» of the Ministry of Health of the Russian Federation; Regional state budgetary healthcare institution «City Hospital No. 5, Barnaul»
Russian Federation

Irina Ya. Tseimakh – Doctor of Medical Sciences, Associate Professor, Head of the Department

Barnaul



T. A. Kornilova
Regional state budgetary healthcare institution «City Hospital No. 5, Barnaul»
Russian Federation

Tatyana A. Kornilova – Head of the Department 

Barnaul



D. E. Bogachev
Federal State Budgetary Educational Institution of Higher Education «Altai State Medical University» of the Ministry of Health of the Russian Federation; Regional state budgetary healthcare institution «City Hospital No. 5, Barnaul»
Russian Federation

Dmitry E. Bogachev – Department assistant

Barnaul



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Review

For citations:


Malchenko T.D., Shoikhet Ya.N., Tseimakh I.Ya., Kornilova T.A., Bogachev D.E. The role of functional diagnostics methods in detecting right ventricular thrombosis and pulmonary artery thromboembolism in a patient with pneumonia. Clinical observation. Medical alphabet. 2025;(31):46-52. (In Russ.) https://doi.org/10.33667/2078-5631-2025-31-46-52

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)