ABSTRACT
The authors describe results of an analysis of observations of 1872 patients treated for injuries of the brain associated with extracranial traumas. Specific features of clinical manifestations of such traumas and resulting specificity of medical tactics which could be useful for the surgeons dealing with associated injuries.
Subject(s)
Abdominal Injuries/surgery , Brain Injuries/surgery , Multiple Trauma/surgery , Thoracic Injuries/surgery , Abdominal Injuries/complications , Adult , Aged , Brain Injuries/complications , Child , Female , Humans , Interprofessional Relations , Male , Patient Care Team/organization & administration , Thoracic Injuries/complicationsABSTRACT
In associated injuries to the organs of the abdominal, thoracic cavities, locomotor system in 160 patients with brain trauma, 150 of them were admitted at the state of shock. The difference in shock manifestations, depending on the character of localization of the main injuries, was noted.
Subject(s)
Multiple Organ Failure/etiology , Multiple Trauma/complications , Shock, Traumatic/complications , Thoracic Injuries/complications , Abdominal Injuries/complications , Brain Injuries/complications , Fractures, Bone/complications , Humans , Multiple Organ Failure/mortalityABSTRACT
The results of treatment of 31 patients with thoraco-abdominal trauma in combination with the brain trauma were analysed. Detection of the leading injury which determined the severity of a state of the sufferers offered considerable difficulties. In choice of a method for treatment the preference was given to the least traumatic methods providing saving the life of a patient. Seven sufferers died.
Subject(s)
Abdominal Injuries/complications , Brain Injuries/complications , Multiple Trauma/diagnosis , Thoracic Injuries/complications , Abdominal Injuries/diagnosis , Abdominal Injuries/surgery , Adolescent , Adult , Brain Injuries/diagnosis , Brain Injuries/surgery , Child , Child, Preschool , Humans , Multiple Trauma/surgery , Thoracic Injuries/diagnosis , Thoracic Injuries/surgery , Trauma Severity IndicesABSTRACT
The analysis of the results of treatment of 818 sufferers with severe craniocerebral trauma was carried out. Among the patients, 102 had associated injuries to the abdominal organs. The difficulties of timely diagnosis were related to atypical manifestation of intraabdominal complications, insufficient pronouncement of clinical symptoms; therefore, the special methods of investigation--roentgenologic, instrumental, the use of liquid-crystal colour thermography acquire special value. The lethality was 37.2%.
