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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">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2023-20-1-16</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-2503</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>СЛУЧАЙ ИЗ КЛИНИЧЕСКОЙ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASES</subject></subj-group></article-categories><title-group><article-title>Первые клинические проявления расслаивающей аневризмы грудной аорты и важность их роли для своевременной диагностики заболевания</article-title><trans-title-group xml:lang="en"><trans-title>Early clinical manifestations of dissecting aneurysm of the thoracic aorta and the importance of their role for the timely diagnosis of the disease</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0549-3150</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кадочкина</surname><given-names>Н. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Kadochkina</surname><given-names>N. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кадочкина Наталия Геннадьевна, кандидат медицинских наук, врач-терапевт отделения аллергологии и иммунопатологии</p><p>Гомель</p></bio><bio xml:lang="en"><p>Natalia G. Kadochkina, Candidate of Medical Sciences, Physician of the Department of Allergology and Immunopathology</p><p>Gomel</p></bio><email xlink:type="simple">natkadok@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6273-7222</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Проневич</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pronevich</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Проневич Анна Васильевна, ассистент кафедры поликлинической терапии и общеврачебной практики</p><p>Гомель</p></bio><bio xml:lang="en"><p>Anna V. Pronevich, Assistant Lecturer of the Department of Polyclinic Therapy and General Medical Practice</p><p>Gomel</p></bio><email xlink:type="simple">busel1984@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Республиканский научно-практический центр радиационной медицины и экологии человека</institution></aff><aff xml:lang="en"><institution>Republican Scientific and Practical Center for Radiation Medicine and Human Ecology</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Гомельский государственный медицинский университет</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>29</day><month>03</month><year>2023</year></pub-date><volume>20</volume><issue>1</issue><fpage>131</fpage><lpage>135</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кадочкина Н.Г., Проневич А.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Кадочкина Н.Г., Проневич А.В.</copyright-holder><copyright-holder xml:lang="en">Kadochkina N.G., Pronevich A.V.</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://journal.gsmu.by/jour/article/view/2503">https://journal.gsmu.by/jour/article/view/2503</self-uri><abstract><p>В статье представлен клинический случай расслаивающей аневризмы грудной аорты, первыми клиническими проявлениями явились типичные симптомы заболевания. Своевременная постановка диагноза и лечение являются особенно значимыми для предупреждения фатального исхода. Поздняя диагностика может быть связана в том числе с отсутствием настороженности врачей в отношении расслаивающей аневризмы аорты.</p></abstract><trans-abstract xml:lang="en"><p>This article presents a clinical case of dissecting thoracic aortic aneurysm. The first clinical manifestations were typical symptoms of the disease. Timely diagnosis and treatment are particularly important to prevent a fatal outcome. Late diagnosis may be related also to the lack of doctors’ caution with regard to dissecting aortic aneurysm.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>расслоение аорты</kwd><kwd>синдром ускоренного СОЭ</kwd><kwd>болевой синдром</kwd></kwd-group><kwd-group xml:lang="en"><kwd>aortic dissection</kwd><kwd>accelerated ESR syndrome</kwd><kwd>pain syndrome</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">Braverman AC, Schermerhorn M. Diseasesoftheaorta. In: Braunwald’sheartdisease: a textbook of cardiovascular medicine. 11th ed. Philadelphia, PA: Elsevier; 2018. p. 1295-337.</mixed-citation><mixed-citation xml:lang="en">Braverman AC, Schermerhorn M. Diseasesoftheaorta. In: Braunwald’sheartdisease: a textbook of cardiovascular medicine. 11th ed. 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