ABSTRACT
Basing on data, concerning the injured persons state, the investigations results for elaboration and application of statistic models, prognosticating the trauma outcome, were analyzed. Selected information about 373 injured persons, who were treated in Traumatic Shock Department, is presented. There was established, that the statistical models elaborated is expedient to use together with other qualitative and quantitative methods of prognostic determination of outcome in severely injured persons.
Subject(s)
Models, Statistical , Multiple Trauma/diagnosis , Trauma Severity Indices , Wounds, Nonpenetrating/diagnosis , Wounds, Penetrating/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Child , Discriminant Analysis , Humans , Logistic Models , Middle Aged , Multiple Trauma/etiology , Multiple Trauma/mortality , Multiple Trauma/therapy , Prognosis , Wounds, Nonpenetrating/etiology , Wounds, Nonpenetrating/mortality , Wounds, Nonpenetrating/therapy , Wounds, Penetrating/etiology , Wounds, Penetrating/mortality , Wounds, Penetrating/therapy , Young AdultABSTRACT
In the clinic in 2000 - 2013 yrs of 42 injured persons with severe combined trauma of abdominal organs were treated, in 18 of them the method of a multi-staged treatment (damage control) with a short-term operative intervention on the first stage was applied, what permitted to lower postoperative lethality by 22.3%, and rate of purulent-septic complications--by 18.1%.
Subject(s)
Abdominal Cavity/surgery , Abdominal Injuries/surgery , Digestive System Surgical Procedures/methods , Postoperative Complications/prevention & control , Sepsis/pathology , Abdominal Injuries/mortality , Abdominal Injuries/therapy , Blood Pressure , Blood Transfusion, Autologous , Humans , Sepsis/etiology , Sepsis/mortality , Survival AnalysisABSTRACT
Modern concept of aneurysm and peculiarities of clinical and instrumental diagnostics of stratifying aneurysm of abdominal aorta are adduced.
Subject(s)
Aorta, Abdominal/pathology , Aortic Aneurysm, Abdominal/diagnosis , Aorta, Abdominal/diagnostic imaging , Aortic Aneurysm, Abdominal/diagnostic imaging , Aortic Aneurysm, Abdominal/pathology , Humans , Radiography , UltrasonographyABSTRACT
The role of clinic-instrumental methods of investigation for establishment of criteria in the choice in the injured persons surgical treatment with intrapleural posttraumatic hemorrhage as a consequence of the closed thoracic trauma was studied up.
Subject(s)
Hemothorax/diagnosis , Hemothorax/surgery , Thoracic Injuries/surgery , Thoracic Surgery, Video-Assisted/methods , Thoracotomy/methods , Wounds, Nonpenetrating/surgery , Adult , Choice Behavior , Female , Hemothorax/etiology , Humans , Male , Middle Aged , Thoracic Injuries/complications , Treatment Outcome , Wounds, Nonpenetrating/complications , Young AdultABSTRACT
Indications for preparation Pentrox application in injured persons, suffering traumatic disease, were substantiated. The pain syndrome dynamics while conducting analgesia, was investigated, using simple verbal scale.
Subject(s)
Analgesics/therapeutic use , Methoxyflurane/therapeutic use , Pain/drug therapy , Wounds and Injuries/drug therapy , Administration, Inhalation , Analgesics/administration & dosage , Analgesics/pharmacology , Humans , Methoxyflurane/administration & dosage , Methoxyflurane/pharmacology , Pain/complications , Pain Measurement , Treatment Outcome , Wounds and Injuries/complications , Wounds and Injuries/surgeryABSTRACT
The results of complex treatment of 40 injured persons with severe thoracic trauma, in whom pulmonary abscesses and pleural empyema had occurred postoperatively, were analyzed. Complex treatment of pulmonary abscesses and pleural empyema, using the methods of a local superhighfrequency irradiation of purulent foci have promoted their accelerated regression occurrence and reduction of a systemic inflammatory reactions severity, as well as prophylaxis of secondary purulent-septic complications, permitting to achieve lethality lowering and to escape practically reoperations performance.
Subject(s)
Empyema, Pleural/therapy , Lung Abscess/therapy , Microwaves/therapeutic use , Postoperative Complications/therapy , Thoracic Injuries/surgery , Adolescent , Adult , Aged , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Combined Modality Therapy , Drainage/methods , Empyema, Pleural/diagnosis , Empyema, Pleural/etiology , Humans , Lung Abscess/diagnosis , Lung Abscess/etiology , Middle Aged , Postoperative Complications/diagnosis , Postoperative Complications/etiology , Severity of Illness Index , Suppuration , Treatment Outcome , Young AdultABSTRACT
The results of surgical treatment analysis was conducted in 39 injured persons, aged 16-74 yrs, who suffered severe trauma and pancreatitis and in whom the Damage Control tactics (DCT) was applied for massive bleeding and vasodilatation shock occurrence. According to TRISS scale for injured persons, suffering severe trauma, operated on using the DCT principles, the primary "approximate" prognosis of the death ("blunt") had constituted (37.4 +/- 24.7)% at average (range, 10.7-89.7%, mediana 31.7%); the primary "accurate" ("penetrating") prognosis--(39.56 +/- 22.14)% (range, 12-91.3%, mediana 39.65%); the severity of general state according to APACHE II scale was estimated as (19.54 +/- 7.65) points at average (range, 12-36 points, mediana 16 points). The characteristic for main principles of operation performance, using the DCT, was suggested. Of the total of 39 injured persons 12 (30.8%) did not survive. Postoperative complications had occurred in 18 (46.2%) of patients.
Subject(s)
Abdominal Injuries/surgery , Digestive System Surgical Procedures/methods , Hemorrhage/surgery , Pancreatitis/surgery , Shock/surgery , APACHE , Abdominal Injuries/complications , Abdominal Injuries/diagnosis , Abdominal Injuries/mortality , Adolescent , Adult , Aged , Hemorrhage/diagnosis , Hemorrhage/etiology , Hemorrhage/mortality , Humans , Injury Severity Score , Middle Aged , Pancreatitis/complications , Pancreatitis/diagnosis , Pancreatitis/mortality , Prognosis , Shock/diagnosis , Shock/etiology , Shock/mortalityABSTRACT
There are presented the main clinico-roentgenological signs of the chest damage in the injured persons, suffering polytrauma, according to the data from the specialized department of traumatic shock and polytrauma.
Subject(s)
Multiple Trauma/diagnostic imaging , Radiography, Thoracic , Thoracic Injuries/diagnostic imaging , Diaphragm/diagnostic imaging , Diaphragm/injuries , Humans , Lung/diagnostic imaging , Lung Injury , Radiography, Thoracic/methods , Rib Fractures/diagnostic imagingABSTRACT
The issues of rehabilitational treatment of injured persons after polytrauma occurrence with compressive fracture of spine using electrostimulation were considered. The application of such an approach have had promoted the essential lowering of traumaticity and the treatment duration as well, the prognosis improvement, the length of temporary disability period reduction.
Subject(s)
Electric Stimulation Therapy/methods , Multiple Trauma/therapy , Spinal Injuries/therapy , Adult , Back Pain/therapy , Decompression, Surgical , Humans , Middle Aged , Multiple Trauma/surgery , Spinal Fractures/surgery , Spinal Fractures/therapy , Spinal Injuries/surgery , Treatment OutcomeABSTRACT
The experience of treatment of 67 suffered with predominant injury of hollow abdominal organs, diaphragm and pancreas is present. The choice of surgical tactics was depend of many factors: time from accident to operation, the severity stage of patients, presence of extraabdominal injuries, localization and degree of abdominal organ injuries.
Subject(s)
Abdominal Injuries/surgery , Digestive System Surgical Procedures/methods , Multiple Trauma/surgery , Diaphragm/injuries , Diaphragm/surgery , Humans , Intestines/injuries , Intestines/surgery , Pancreas/injuries , Pancreas/surgery , Stomach/injuries , Stomach/surgeryABSTRACT
Issues of arterial hypoxemia treatment in early period of traumatic disease, taking into account modern approaches, adopted in surgery of injuries and anesthesy-resuscitation. It is recommended to use the method proposed for the arterial oxygen content enhancing in an acute respiratory insufficiency of various genesis, including the cases of progressive posttraumatic disease.
Subject(s)
Antihypertensive Agents/therapeutic use , Benzimidazoles/therapeutic use , Hypoxia/complications , Hypoxia/therapy , Wounds and Injuries/complications , Humans , Respiration, Artificial , Time Factors , Wounds and Injuries/surgeryABSTRACT
Results of surgical treatment of 148 injured persons with polytrauma in dominating damage of the abdominal cavity organs and concurrent damage of various anatomic-functional regions were analyzed. Taking into account the delineated reanimation-operative period there were presented surgical and reanimation tactic, intensive infusion-transfusion therapy in an acute massive blood loss, which was conducted in conditions of artificial pulmonary ventilation and general multicomponent anesthesy performed. Introduction of the tactic elaborated into the clinical practice had promoted significant improvement of the treatment results in injured persons with polytrauma.
