RESUMO
Treatment of closed injury of hollow abdominal organs in combination with craniocerebral trauma constitutes one of actual problems of modern surgery of injuries, proper mortality in it is reaching 61.5%. Instrumental methods of investigation play an important role in diagnosis of the injury regarded. Structure of injury, peculiarities of diagnosis and surgical tactics were considered.
Assuntos
Traumatismos Abdominais/diagnóstico , Traumatismos Abdominais/cirurgia , Lesões Encefálicas/diagnóstico , Lesões Encefálicas/cirurgia , Traumatismos Abdominais/complicações , Adolescente , Adulto , Lesões Encefálicas/complicações , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
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.
Assuntos
Traumatismos Abdominais/cirurgia , Transfusão de Sangue/métodos , Traumatismos Abdominais/mortalidade , Infusões Parenterais , Estudos Retrospectivos , Taxa de SobrevidaRESUMO
While application of dynamical omentopancreatopexy for the treatment of necrotic pancreatitis there were noted the purulent and visceral complications frequency lowering from 3.34 in every patient--while the closed interventions usage down to 2.02 and of mortality--from 57.2 down to 33% accordingly.
Assuntos
Omento/cirurgia , Pâncreas/cirurgia , Pancreatite Necrosante Aguda/cirurgia , Procedimentos Cirúrgicos Operatórios/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
The experience of surgical treatment of 513 injured persons with severe closed thoracoabdominal trauma (CTAT) in an acute period was summarized. In 142 (27.8%) patients the hepatic injury was revealed. The CTAT structure, the diagnosis and surgical tactics peculiarities in the liver injury, complications, the mortality outcome causes were analyzed. Lethality was 64.1%.