Subject(s)
Abdomen, Acute/diagnosis , Abdominal Cavity , Dissection , Echinococcosis , Liver , Lung , Abdominal Cavity/pathology , Abdominal Cavity/surgery , Adult , Diagnosis, Differential , Dissection/adverse effects , Dissection/methods , Echinococcosis/diagnosis , Echinococcosis/physiopathology , Echinococcosis/surgery , Humans , Liver/pathology , Liver/surgery , Lung/pathology , Lung/surgery , Male , Reoperation , Treatment OutcomeABSTRACT
Experience of health care organization at district hospital on the day of armed conflict is discussed. Sixty-six patients with various injuries have been admitted during 5 hours. Optimal organization of health care system permitted to realize all the diagnostic and surgical procedures in time. Overall 98 operations have been performed at 64 patients. Rapid pre-admission care and transportation to specialized hospital allow to decrease hemorrhage volume, shock severity and lethality.
Subject(s)
Health Services Administration , Patient Admission/statistics & numerical data , Terrorism/statistics & numerical data , Wounds and Injuries/rehabilitation , Adult , Aged , Catchment Area, Health , Female , Hospitalization/statistics & numerical data , Humans , Male , Middle Aged , Russia/epidemiologyABSTRACT
Results of treatment of 98 patients with injuries of extremity vessels were analyzed. The present-day character of osteo-vascular wounds requires a restoration of all anatomical structures. The best results were obtained by extrafocal methods of restoration. The author calls special attention to possible technical and strategy errors in treatment of such patients.