1. FEATURES OF DIAGNOSTICS AND TREATMENT OF EXTREMELY SEVERE COMBINED INJURY
- Author
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V. G. Bagdasaryants, Besaev Gm, Taniya SSh, Sinenchenko Gi, and Tulupov An
- Subjects
«damagе control» ,medicine.medical_specialty ,RD1-811 ,business.industry ,medicine.medical_treatment ,Trauma center ,General Medicine ,medicine.disease ,combined injury ,Surgery ,Sepsis ,traumatic shock ,road traffic traumatism ,sepsis ,External fixation ,«damage control» ,Shock (circulatory) ,medicine ,procalcitone test ,medicine.symptom ,polytrauma ,business ,Metabolic therapy - Abstract
The data of examination and treatment of 356 victims with extremely severe combined injury and shock of III degree were analyzed. All the patients had a medical unfavorable life prognosis. On the basis of the research, it was proved, that the modern approach of treatment of such trauma should include an adequate anti-shock treatment in conditions of the first-level trauma center. The operative activity should be increased in cases of combined trauma of bones by their early external fixation. The authors re commend an application of up-to-date prevention sepsis treatment, late reconstructive - restorative operation performance after its full relief and nutritive metabolic therapy. This approach allowed reducing of the rate of life-threaten infectious complications on 32,4% and noninfectious - on 31,7%, the lethality - on 24%.
- Published
- 2015