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1. FEATURES OF DIAGNOSTICS AND TREATMENT OF EXTREMELY SEVERE COMBINED INJURY

Author

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

2. [FEATURES OF DIAGNOSTICS AND TREATMENT OF EXTREMELY SEVERE COMBINED INJURY].

Author

Tulupov AN, Besaev GM, Sinenchenko GI, Taniya SSh, and Bagdasar'yants VG

Subjects
Adult, Combined Modality Therapy, Female, Humans, Male, Outcome and Process Assessment, Health Care, Prognosis, Reoperation, Retrospective Studies, Russia epidemiology, Shock, Traumatic diagnosis, Shock, Traumatic etiology, Shock, Traumatic therapy, Survival Analysis, Systemic Inflammatory Response Syndrome diagnosis, Systemic Inflammatory Response Syndrome etiology, Systemic Inflammatory Response Syndrome therapy, Trauma Severity Indices, Multiple Trauma complications, Multiple Trauma diagnosis, Multiple Trauma mortality, Multiple Trauma surgery, Surgical Procedures, Operative adverse effects, Surgical Procedures, Operative methods
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 recommend 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

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