RESUMO
Results of medical care, given to injured persons with closed thoracoabdominal trauma on the prehospital stage were analyzed. Lacks and complications in tactic of treatment and diagnosis were determined. Mistakes of the medical ambulance care physicians were noted in 51.3% of observations.
Assuntos
Erros de Diagnóstico , Serviços Médicos de Emergência/normas , Erros Médicos , Traumatismos Torácicos/reabilitação , Traumatismos Torácicos/cirurgia , Ferimentos não Penetrantes , Hospitalização , Humanos , Complicações Intraoperatórias/mortalidade , Complicações Pós-Operatórias/mortalidade , Fatores de TempoRESUMO
Experience of treatment of 1147 injured persons with severe closed thoracoabdominal trauma (SCTT) in acute period was summarized. Analysis of causes of the injured persons deaths was conducted, irreversible states in SCTT were determined. Lethality had constituted 33.4%.
Assuntos
Traumatismos Abdominais/mortalidade , Traumatismos Torácicos/mortalidade , Ferimentos não Penetrantes , Traumatismos Abdominais/reabilitação , Traumatismos Abdominais/cirurgia , Idoso , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/mortalidade , Traumatismos Torácicos/reabilitação , Traumatismos Torácicos/cirurgiaRESUMO
Experience of surgical treatment of 1147 injured persons with severe closed thoracoabdominal trauma was summarized. Coexistence with the bones trauma was noted in 631 (55%) injured persons. The structure, peculiarities of surgical tactics, complications, causes of death for the patients with the bones fracture were suggested. Mortality had constituted 44.7%.
Assuntos
Traumatismos Abdominais/complicações , Traumatismos Abdominais/cirurgia , Fraturas Ósseas/complicações , Fraturas Ósseas/cirurgia , Procedimentos Cirúrgicos Operatórios/métodos , Traumatismos Torácicos/complicações , Traumatismos Torácicos/cirurgia , Humanos , Escala de Gravidade do FerimentoRESUMO
The experience of application of the blood reinfusion in complex of reanimational measures in treatment of 280 injured persons with thoracoabdominal damage in an acute period of trauma was summarized. Reinfusion was done in 42.8% of operated injured persons, promoting to preserve 243.1 l of preserved blood and simplifying rendering the assistance in an acute period of trauma.
