avkАрхивъ внутренней медициныThe Russian Archives of Internal Medicine2226-67042411-6564“SINAPS” LLC10.20514/2226-6704-2016-6-5-72-77avk-574Research ArticleРАЗБОР КЛИНИЧЕСКИХ СЛУЧАЕВANALYSIS OF CLINICAL CASESСЛУЧАЙ РЕЦИДИВИРУЮЩЕЙ ТРОМБОЭМБОЛИИ ЛЕГОЧНОЙ АРТЕРИИ У ПАЦИЕНТА С ОБОСТРЕНИЕМ ХРОНИЧЕСКОЙ ОБСТРУКТИВНОЙ БОЛЕЗНИ ЛЕГКИХTHE CASE OF PULMONARY EMBOLISM IN A PATIENT WITH ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASEКарнаушкинаМ. А.KarnaushkinaM. A.kar3745@yandex.ruРезванВ. В.RezvanV. V.ШухнинС. Е.ShukhninS. E.СтрутынскаяА. Д.StrutynskayaA. D.АрутюноваА. Б.ArutyunovaA. B.Первый Московский государственный медицинский университет имени И.М. Сеченова, МоскваРоссияFirst Moscow State Medical University, named after I.M. Sechenov, MoscowRussian FederationЛечебно-реабилитационный центр Минэкономразвития России, Филиал № 1 ФБУЗ, МоскваРоссияTreatment and Rehabilitation Center of Russian Ministry of Economic Development, Head of the Department of Radiology Branch № 1, MoscowRussian FederationРоссийский национальный исследовательский медицинский университет имени Н.И. Пирогова, МоскваРоссияPirogov Russian National Research Medical University, MoscowRussian FederationКлиническая больница Центросоюза РФ, МоскваРоссияCentrosoyuz Clinical Hospital, MoscowRussian Federation201628102016657277Copyright © Карнаушкина М.А., Резван В.В., Шухнин С.Е., Струтынская А.Д., Арутюнова А.Б., 20162016Карнаушкина М.А., Резван В.В., Шухнин С.Е., Струтынская А.Д., Арутюнова А.Б.Karnaushkina M.A., Rezvan V.V., Shukhnin S.E., Strutynskaya A.D., Arutyunova A.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medarhive.ru/jour/article/view/574

Considered a clinical case of pulmonary embolism (PE) in 65-year-old  patient  with frequent  exacerbations  of COPD. The difficulty was due to the diagnosis of nonspecific clinical symptoms that could correspond to both PE and exacerbation of chronic obstructive pulmonary disease (COPD) due to an infectious disease and the development  of pneumonia. The lack of specific PE changes during X-ray examination of the chest is also difficult to correct diagnosis. The article discusses the problems faced by clinicians in the diagnosis of pulmonary embolism on the background of COPD exacerbations.

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