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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="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">clinmed</journal-id><journal-title-group><journal-title xml:lang="ru">Клиническая медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Clinical Medicine (Russian Journal)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0023-2149</issn><issn pub-type="epub">2412-1339</issn><publisher><publisher-name>ООО «Медицинское информационное агентство»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/0023-2149-2021-99-11-12-593-601</article-id><article-id custom-type="elpub" pub-id-type="custom">clinmed-314</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="ru"><subject>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Профилактика тромбоэмболических осложнений в гинекологической практике</article-title><trans-title-group xml:lang="en"><trans-title>Prevention of thromboembolic events in gynaecological practice</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7426-9040</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мельников</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Melnikov</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мельников Андрей Павлович — канд. мед. наук, акушер-гинеколог</p><p>101000, Москва</p></bio><bio xml:lang="en"><p>Melnikov Andrey P.</p><p>101000, Moscow</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/0000-0003-2679-3734</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щербатых</surname><given-names>М. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Shcherbatykh</surname><given-names>M. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Щербатых Марина Геннадьевна — аспирант </p><p>101000, Москва</p></bio><bio xml:lang="en"><p>Shcherbatykh Marina G.</p><p>101000, Moscow</p></bio><email xlink:type="simple">marina.kaschchuk@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ МО «Московский областной научно-исследовательский институт акушерства и гинекологии»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow Regional Research Institute of Obstetrics and Gynecology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>04</day><month>03</month><year>2022</year></pub-date><volume>99</volume><issue>11-12</issue><fpage>593</fpage><lpage>601</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мельников А.П., Щербатых М.Г., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Мельников А.П., Щербатых М.Г.</copyright-holder><copyright-holder xml:lang="en">Melnikov A.P., Shcherbatykh M.G.</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.clinmedjournal.com/jour/article/view/314">https://www.clinmedjournal.com/jour/article/view/314</self-uri><abstract><p>В обзоре представлены современные данные по профилактике тромбоэмболических осложнений в оперативной гинекологии. Особое внимание уделено определению клинической вероятности тромботических осложнений, стратификации пациенток по группам риска с учетом хирургической и экстрагенитальной патологии, особенностям оперативного вмешательства, использованию лабораторных и инструментальных методик, а также продолжительности и объему фармакологической тромбопрофилактики после оперативного вмешательства.</p></abstract><trans-abstract xml:lang="en"><p>The review presents current data on the prevention of thromboembolic events in operative gynecology. Specifi c attention is paid to the determination of the clinical expectancy of thrombotic events, the stratifi cation of patients by risk groups, taking into account surgical and extragenital pathology, the peculiar features of surgical intervention, the use of laboratory and instrumental techniques, as well as the duration and the extent of pharmacological prevention of thromboembolic events after surgery.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>тромбозы</kwd><kwd>оперативная гинекология</kwd><kwd>профилактика</kwd><kwd>низкомолекулярные гепарины</kwd><kwd>тромбодинамика</kwd><kwd>тромбоэластография</kwd></kwd-group><kwd-group xml:lang="en"><kwd>thrombosis</kwd><kwd>operative gynecology</kwd><kwd>prevention</kwd><kwd>low molecular weight heparin</kwd><kwd>thrombodynamics</kwd><kwd>thromboelastography</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">Бокарев И.Н. 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