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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">akusherstvo</journal-id><journal-title-group><journal-title xml:lang="en">Obstetrics, Gynecology and Reproduction</journal-title><trans-title-group xml:lang="ru"><trans-title>Акушерство, Гинекология и Репродукция</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7347</issn><issn pub-type="epub">2500-3194</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2313-7347/ob.gyn.rep.2020.169</article-id><article-id custom-type="elpub" pub-id-type="custom">akusherstvo-728</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>Septic shock</article-title><trans-title-group xml:lang="ru"><trans-title>Септический шок</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8404-1042</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бицадзе</surname><given-names>В. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Bitsadze</surname><given-names>V. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бицадзе Виктория Омаровна - д. м.н., профессор РАН, профессор кафедры акушерства и гинекологии Клинического института детского здоровья имени Н. Ф. Филатова</p><p>109004 Москва, ул. Земляной Вал, д. 62</p><p>Scopus Author ID: 6506003478</p><p>Researcher ID: F-8409-2017</p></bio><bio xml:lang="en"><p>Viktoria O. Bitsadze – MD, Dr Sci Med, Professor of RAS, Professor, Department of Obstetrics and Gynecology, N.F. Filatov Clinical Institute of Children’s Health</p><p>62 Str. Zemlyanoi Val, Moscow 109004</p><p>Scopus Author ID: 6506003478</p><p>Researcher ID: F-8409-2017</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6907-6746</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Суконцева</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sukontseva</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Суконцева Татьяна Александровна - студент 6-го курса лечебного факультета</p><p>197022 Санкт-Петербург, ул. Льва Толстого, д. 6/8</p></bio><bio xml:lang="en"><p>Sukontseva Tatyana Alexandrovna - 6th year Student, Faculty of General Medicine</p><p>6/8 Lev Tolstoy Str., Saint Petersburg 197022</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6012-453X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Акиньшина</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Akinshina</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Акиньшина Светлана Владимировна – к.м.н., научный сотрудник кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова</p><p>109004 Москва, ул. Земляной Вал, д. 62</p></bio><bio xml:lang="en"><p>Svetlana V. Akinshina – MD, PhD, Researcher, Department of Obstetrics and Gynecology, N.F. Filatov Clinical Institute of Children’s Health</p><p>62 Str. Zemlyanoi Val, Moscow 109004</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7702-2687</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сулина</surname><given-names>Я. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Sulina</surname><given-names>Ya. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сулина Яна Юрьевна – ассистент кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова</p><p>109004 Москва, ул. Земляной Вал, д. 62</p><p>Scopus Author ID: 57194140583</p><p>Researcher ID: S-9569-2018</p></bio><bio xml:lang="en"><p>Yana Yu. Sulina – MD, Assistant, Department of Obstetrics and Gynecology, N.F. Filatov Clinical Institute of Children’s Health</p><p>62 Str. Zemlyanoi Val, Moscow 109004</p><p>Scopus Author ID: 57194140583</p><p>Researcher ID: S-9569-2018</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0725-9686</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хизроева</surname><given-names>Д. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Khizroeva</surname><given-names>J. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хизроева Джамиля Хизриевна – д.м.н., профессор кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова</p><p>109004 Москва, ул. Земляной Вал, д. 62</p><p>Scopus Author ID: 57194547147</p><p>Researcher ID: F-8384-2017</p></bio><bio xml:lang="en"><p>Jamilya Kh. Khizroeva – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, N.F. Filatov Clinical Institute of Children’s Health</p><p>62 Str. Zemlyanoi Val, Moscow 109004</p><p>Scopus Author ID: 57194547147</p><p>Researcher ID: F-8384-2017</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Третьякова</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tretyakova</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Третьякова Мария Владимировна – к.м.н., врач акушер-гинеколог отделения гинекологии</p><p>119021 Москва, ул. Тимура Фрунзе, д. 15/1</p></bio><bio xml:lang="en"><p>Maria V. Tretyakova – MD, PhD, Obstetrician-Gynecologist, Department of Gynecology</p><p>15/1 Timura Frunze Str., Moscow 119021</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6192-1936</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Султангаджиева</surname><given-names>Х. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Sultangadzhieva</surname><given-names>Kh. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Султангаджиева Хадижат Гасановна – аспирант кафедры акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова</p><p>109004 Москва, ул. Земляной Вал, д. 62</p></bio><bio xml:lang="en"><p>Khadizhat G. Sultangadzhieva – Postgraduate Student, Department of Obstetrics and Gynecology, N.F. Filatov Clinical Institute of Children's Health</p><p>62 Str. Zemlyanoi Val, Moscow 109004</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3337-4995</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Унгиадзе</surname><given-names>Д. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Ungiadze</surname><given-names>J. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Унгиадзе Джумбер Юрьевич – д.м.н., профессор медицинского факультета, директор</p><p>6010 Батуми, ул. Ниношвили, д. 35</p><p>6004 Батуми, проспект Фридон Халваши, д. 237</p></bio><bio xml:lang="en"><p>Jumber Yu. Ungiadze – MD, Dr Sci Med, Professor, Faculty of Medicine, Batumi Shota Rustaveli State University; Director of the Iris Borchashvili Health Center Medina</p><p>35 Ninoshvili Str., Batumi, 6010, Georgia</p><p>237 Fridon Khalvashi Avenue, Batumi6004, Georgia</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4564-8439</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Самбурова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Samburova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Самбурова Наталья Викторовна – к.м.н., доцент кафедры патофизиологии Института клинической медицины</p><p>109004 Москва, ул. Земляной Вал, д. 62</p></bio><bio xml:lang="en"><p>Natalia V. Samburova – PhD, Associate Professor, Department of Pathophysiology, Institute of Clinical Medicine</p><p>62 Str. Zemlyanoi Val, Moscow 109004</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7756-8935</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Григорьева</surname><given-names>К. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Grigoreva</surname><given-names>K. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Григорьева Кристина Николаевна – студент 6-го курса педиатрического факультета</p><p>109004 Москва, ул. Земляной Вал, д. 62</p></bio><bio xml:lang="en"><p>Kristina N. Grigoreva – 6th year Student, Faculty of Pediatrics</p><p>62 Str. Zemlyanoi Val, Moscow 109004</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5888-0774</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цибизова</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsibizova</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Цибизова Валентина Ивановна – врач отделения функциональной и ультразвуковой диагностики</p><p>197341 Санкт-Петербург, ул. Аккуратова, д. 2</p></bio><bio xml:lang="en"><p>Valentina I. Tsibizova – MD, Department of Functional and Ultrasound Diagnostics</p><p>2 Akkuratova Str., Saint Petersburg 197341</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9783-1796</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шкода</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Shkoda</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шкода Андрей Сергеевич – д.м.н., профессор, главный врач</p><p>123423 Москва, ул. Саляма Адиля, д. 2/44</p></bio><bio xml:lang="en"><p>Andrey S. Shkoda – MD, Dr Sci Med, Professor, Chief Physician</p><p>2/44 Salyama Adilya Str., Moscow 123423</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3367-9844</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Блинов</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Blinov</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Блинов Дмитрий Владиславович – к.м.н., руководитель по медицинским и научным вопросам; врач-невролог; преподаватель, кафедра неврологии, психиатрии и наркологии Researcher ID: E-8906-2017</p><p>RSCI: 9779-8290</p><p>127006 Москва, ул. Садовая-Триумфальная, д. 4–10</p><p>143081 Московская область, Одинцовский район, Лапино, 1-е Успенское шоссе, д. 111</p><p>123056 Москва, 2-я Брестская улица, д. 5, стр. 1–1а</p></bio><bio xml:lang="en"><p>Dmitry V. Blinov – MD, PhD, MBA, Head of Medical and Scientific Affairs; Neurologist; Faculty Member, Department of Neurology, Psychiatry and Narcology</p><p>4–10 Sadovaya-Triumfalnaya Str., Moscow 1270061st Uspenskoye Highway, 111, Moscow Region, Odintsovo District, Lapino 1430815, 1–1a 2nd Brestskaya Str., Moscow 123056</p><p> </p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7415-4633</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макацария</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Makatsariya</surname><given-names>A. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Макацария Александр Давидович – д.м.н., академик РАН, профессор, зав. кафедрой акушерства и гинекологии Клинического института детского здоровья имени Н.Ф. Филатова Scopus Author ID: 6602363216</p><p>Researcher ID: M-5660-2016</p><p>109004 Москва, ул. Земляной Вал, д. 62</p></bio><bio xml:lang="en"><p>Alexander D. Makatsariya – MD, Dr Sci Med, Professor, Academician of RAS, Head of the Department of Obstetrics and Gynecology, N.F. Filatov Clinical Institute of Children’s Health</p><p>62 Str. Zemlyanoi Val, Moscow 109004</p><p>Scopus Author ID: 6602363216</p><p>Researcher ID: M-5660-2016</p></bio><email xlink:type="simple">gemostasis@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.P. Pavlov First Saint Petersburg State Medical University, Health Ministry of Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ООО «Лечебный Центр»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>«Medical Center» LLC</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Батумский государственный университет имени Шота Руставели;&#13;
Центр здоровья «Медина» имени Ирис Борчашвили</institution><country>Грузия</country></aff><aff xml:lang="en"><institution>Shota Rustaveli Batumi State University;&#13;
Iris Borchashvili Health Center Medina</institution><country>Georgia</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр имени В.А. Алмазова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov National Medical Research Centre, Health Ministry of Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ГБУЗ «Городская клиническая больница № 67 имени Л.А. Ворохобова Департамента здравоохранения города Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>City Clinical Hospital № 67 named after L.A. Vorokhobov, Moscow Healthcare Department</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Институт Превентивной и Социальной Медицины;&#13;
Клинический Госпиталь Лапино, ГК «Мать и Дитя»;&#13;
Автономная некоммерческая организация дополнительного профессионального образования «Московский медико-социальный институт имени Ф.П. Гааза»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute for Preventive and Social Medicine; &#13;
Lapino Clinic Hospital, MD Medical Group; &#13;
Moscow Haass Medical - Social Institute</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>17</day><month>07</month><year>2020</year></pub-date><volume>14</volume><issue>3</issue><fpage>314</fpage><lpage>326</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Bitsadze V.O., Sukontseva T.A., Akinshina S.V., Sulina Y.Y., Khizroeva J.K., Tretyakova M.V., Sultangadzhieva K.G., Ungiadze J.Y., Samburova N.V., Grigoreva K.N., Tsibizova V.I., Shkoda A.S., Blinov D.V., Makatsariya A.D., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Бицадзе В.О., Суконцева Т.А., Акиньшина С.В., Сулина Я.Ю., Хизроева Д.Х., Третьякова М.В., Султангаджиева Х.Г., Унгиадзе Д.Ю., Самбурова Н.В., Григорьева К.Н., Цибизова В.И., Шкода А.С., Блинов Д.В., Макацария А.Д.</copyright-holder><copyright-holder xml:lang="en">Bitsadze V.O., Sukontseva T.A., Akinshina S.V., Sulina Y.Y., Khizroeva J.K., Tretyakova M.V., Sultangadzhieva K.G., Ungiadze J.Y., Samburova N.V., Grigoreva K.N., Tsibizova V.I., Shkoda A.S., Blinov D.V., Makatsariya A.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.gynecology.su/jour/article/view/728">https://www.gynecology.su/jour/article/view/728</self-uri><abstract><p>The problem of sepsis and septic shock has recently become more and more actual. In obstetrics and gynaecology, the number of cases of sepsis has more than doubled over the past 10 years. The review examines the clinical forms of septic conditions, risk factors, pathogenesis of sepsis and septic shock, the main pathogens of septic conditions. Special attention is paid to neonatal sepsis. The relationship between septic shock and viral infections is considered in the context of the novel coronavirus infection caused by SARS-CoV-2 (COVID-19) pandemic. Hemostasis abnormalities have been demonstrated in patients with septic shock, including disseminated intravascular coagulation (DIC). The importance of determining the level of ADAMTS-13 to refine the forecast is discussed.</p></abstract><trans-abstract xml:lang="ru"><p>Проблема сепсиса и септического шока в последнее время становится все более актуальной. В акушерстве и гинекологии количество случаев сепсиса за последние 10 лет выросло более чем в 2 раза. В обзоре рассматриваются клинические формы септических состояний, факторы риска, патогенез сепсиса и септического шока, основные возбудители септических состояний. Особое внимание уделено неонатальному сепсису. Связь септического шока с вирусными инфекциями рассмотрена в призме пандемии новой коронавирусной инфекции (COVID-19), вызываемой SARS-CoV-2. Продемонстрированы нарушения гемостаза у больных септическим шоком, включая синдром диссеминированного внутрисосудистого свертывания (ДВС-синдром). Обсуждается значимость определения уровня ADAMTS-13 для уточнения прогноза.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сепсис</kwd><kwd>септический шок</kwd><kwd>патогенез</kwd><kwd>ДВС-синдром</kwd><kwd>ADAMTS-13</kwd></kwd-group><kwd-group xml:lang="en"><kwd>sepsis</kwd><kwd>septic shock</kwd><kwd>pathogenesis</kwd><kwd>DIC</kwd><kwd>ADAMTS-13</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Макацария А.Д., Акиньшина С.В., Бицадзе В.О. и др. Септический шок в акушерстве: новый взгляд на патогенез. Практическая медицина. 2012;9(65):11–23.</mixed-citation><mixed-citation xml:lang="en">Макацария А.Д., Акиньшина С.В., Бицадзе В.О. и др. Септический шок в акушерстве: новый взгляд на патогенез. 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