akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347.2020.14.1.94-101akusherstvo-629Research ArticleCLINICAL CASESКЛИНИЧЕСКИЕ СЛУЧАИApplication of the rotational thromboelastography/thromboelastometry for assessment of massive obstetric blood loss in a high risk groupПрименение метода ротационной тромбоэластографии/тромбоэластометрии с целью оценки вероятности развития массивной акушерской кровопотери в группе высокого рискаhttps://orcid.org/0000-0003-4512-9599ЕремееваД. Р.EremeevaD. R.

Еремеева Дина Рустемовна - кандидат медицинских наук, зам. главного врача по амбулаторной работе.

192014 Санкт-Петербург, ул. Маяковского, д. 5

Dina R. Eremeeva - MD, PhD, Deputy of Head Physician for outpatient work, V.F. Snegirev Maternity Hospital № 6.

5 Mayakovskogo St., Saint Petersburg 192014

dina-bikmullina@yandex.ruhttps://orcid.org/0000-0002-2622-5000ЗайнулинаМ. С.ZainulinaM. S.

Зайнулина Марина Сабировна - доктор медицинских наук, профессор, главный врач РД № 6 имени профессора В.Ф. Снегирева; профессор кафедры акушерства, гинекологии и репродуктологии Первый СПГМУ им. академика И.П. Павлова, Scopus Author ID: 37076359000, Researcher ID: B-5746-2018.

192014 Санкт-Петербург, ул. Маяковского, д. 5; 197022 Санкт-Петербург, ул. Льва Толстого, д. 6/8

Marina S. Zainulina - MD, Dr Sci Med, Head Physician, V.F. Snegirev MH № 6; Professor, Department of Obstetrics, Gynecology and Reproductive Medicine, I.P. Pavlov First Saint-Petersburg SMU, Scopus Author ID: 37076359000, Researcher ID: B-5746-2018.

5 Mayakovskogo St., Saint Petersburg 192014; 6/8 Lev Tolstoy St., Saint Petersburg 197022

СПб ГБУЗ Родильный дом № 6 имени профессора В.Ф. СнегиреваРоссияV.F. Snegirev Maternity Hospital № 6Russian FederationСПб ГБУЗ Родильный дом № 6 имени профессора В.Ф. Снегирева; ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской ФедерацииРоссияV.F. Snegirev Maternity Hospital № 6; I.P. Pavlov First Saint Petersburg State Medical University, Health Ministry of Russian FederationRussian Federation20200304202014194101Copyright © Eremeeva D.R., Zainulina M.S., 20202020Еремеева Д.Р., Зайнулина М.С.Eremeeva D.R., Zainulina M.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/629

Here, we discuss blood management upon a risk of massive obstetric hemorrhage by describing a clinical case of female patient with obstetric complications of pregnancy such as severe preeclampsia and chronic placental insufficiency with fetal malnutrition examined by using thromboelastometry to assess a risk of developing massive obstetric hemorrhage. A rotational thromboelas-tography/thromboelastometry technology as well as available publications related to using it in obstetrics are outlined.

В статье рассмотрены вопросы менеджмента крови при наличии риска массивной акушерской кровопотери. Приведен клинический случай пациентки с акушерскими осложнениями беременности - тяжелой преэклампсией и хронической плацентарной недостаточностью с гипотрофией плода, где тромбоэластометрия применялась с целью оценки рисков развития массивной акушерской кровопотери. Описана технология ротационной тромбоэластографии/тромбоэластоме-трии. Приводятся литературные данные, касающиеся применения этой технологии в акушерской практике.

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