ABSTRACT
Multifactorial analysis was conducted in 48 injured persons, who had suffered combined abdominal organs trauma, trauma severity score according to the AIS-90 scale more than 25 points, and died. There were elaborated theoretical aspects of prognostication of the injured person's death timing. There was established, that while hemoperitoneum volume enhancement by 200 ml (critical level of hemoperitoneum is considered 682 ml) the death timing becomes accelerated by 1.2 h.
Subject(s)
Abdominal Injuries/diagnosis , Abdominal Injuries/mortality , Hemoperitoneum/diagnosis , Hemoperitoneum/mortality , Abdominal Injuries/pathology , Adolescent , Adult , Cause of Death , Female , Hemoperitoneum/pathology , Humans , Injury Severity Score , Male , Middle Aged , Multivariate Analysis , PrognosisABSTRACT
Postoperative complications (PC) in 406 patients with isolated and combined injuries were analyzed. It was established that due to PC the operative interventions are conducted in injured persons with combined trauma three times more frequently than in patients with isolated one.
Subject(s)
Postoperative Complications/diagnosis , Postoperative Complications/surgery , Wounds and Injuries/surgery , Humans , Reoperation , Severity of Illness IndexABSTRACT
During ten-year period 1191 patients with perforative pyloroduodenal ulcer were operated on. Palliative intervention was conducted in 206 patients, conventionally radical one--in 677 and radical--in 308. Postoperative mortality have constituted 5.2%.
Subject(s)
Duodenal Ulcer/complications , Peptic Ulcer Perforation/surgery , Chronic Disease , Duodenal Ulcer/mortality , Duodenal Ulcer/surgery , Duodenum/surgery , Female , Humans , Male , Palliative Care , Peptic Ulcer Perforation/mortality , Pylorus/surgeryABSTRACT
The experience of estimation of the state and the results of treatment of 300 patients with the combined craniocerebral trauma (CCT) is summarized. The injured persons with severe CCT and severe outcranial injuries were included in the 1st group, with severe CCT and nonsevere outcranial injuries--in the 2nd group, with nonsevere CCT and severe outcranial injuries--in the 3d group, with nonsevere CCT and nonsevere outcranial injuries--in the 4th group. The dominating, competing and accompanying injuries, determining the surgical treatment tactics, were marked out in every group. The differentiative therapy general principles were marked out.
