RESUMO
Medical troops supply in local armed conflicts demonstrated advantages of fast evacuation of wounded personnel by aviation from the seat of combat actions to the stage of specialized surgical care. Wounded in head, breast, abdomen (particularly in case of multiple and combined character of wounds) are evacuated for treatment to central military hospitals equipped with modern diagnostic and medical equipment, completed with qualified specialists and having the opportunity of prolonged treatment. Surgical care in the zone of combat actions is confined to hemostasis, intensive therapy -to supporting of main vital functions. The article contains the data about terminations of wounded personnel treatment in central military-fleet clinical hospital.
Assuntos
Atenção à Saúde , Hospitais Militares , Procedimentos Cirúrgicos Operatórios , Atenção à Saúde/estatística & dados numéricos , Hospitais Militares/estatística & dados numéricos , Humanos , Traumatismo Múltiplo/cirurgia , Federação Russa , Procedimentos Cirúrgicos Operatórios/estatística & dados numéricos , Guerra , Ferimentos por Arma de Fogo/cirurgiaRESUMO
A number of application programs for IBM PC AT was worked out to meet the requirements of a new method applied for prognostication of cranioplasty results in patients with craniocerebral injuries. This method uses an old one based on Bayes formula. The authors analysed 155 craniocerebral injuries which were inflicted in Afghanistan in the period from September 1984 till November 1988. It was proved that such methods increase the accuracy of prognostication as far as the outcomes of reconstructive operations for gunshot craniocerebral injuries are concerned.
Assuntos
Lesões Encefálicas/cirurgia , Crânio/lesões , Crânio/cirurgia , Ferimentos por Arma de Fogo/cirurgia , Adolescente , Adulto , Afeganistão/epidemiologia , Teorema de Bayes , Lesões Encefálicas/epidemiologia , Humanos , Masculino , Prognóstico , Estudos Retrospectivos , Software , Resultado do Tratamento , U.R.S.S./epidemiologia , Guerra , Ferimentos por Arma de Fogo/epidemiologiaRESUMO
The authors believe that the deficiency of immunoglobulins A in the cerebrospinal fluid (CSF) of patients with arachnoiditis may be explained by an increase in their consumption due to antigenic aggression in relation to the meninges, which results in extremely low values of the circulating immunoglobulins A. The absence of immunoglobulins A in the CSF of patients with cerebral arachnoiditis is one of the components of its pathogenesis owing to impairment of permeability of the blood brain barrier and fixation of antigens in the tissues of the brain and meninges.
