title: [The general and local treatment of wounded patients with gunshot fractures at stages in the medical evacuation].
abstract: The article discusses the pathogenetical approach to an early prophylaxis of local disorders of blood circulation in the cases of gunshot fractures of limbs. The authors emphasize the negative influence of the post-traumatic edema of muscles inside osseous-fascial bursas. On the background of blood losses and centralization of blood circulation edema causes the decompensation ischemia of tissue, which leads to the appearance of centres of secondary necrosis. An early recovery of optimal tissue blood circulation is propounded as one of the goals during the primary surgical management of wounds. A rational sequence of immediate surgery, which was practically tested is proposed. Basic methods of operations on limb segments are enclosed.
authors.forename: S S
authors.initials: SS
authors.lastname: Tkachenko
authors.forename: V K
authors.initials: VK
authors.lastname: Nikolenko
authors.forename: A N
authors.initials: AN
authors.lastname: Erokhov
mesh_terms: D003131:Combined Modality Therapy / Q000379:methods; D004630:Emergencies; D005392:First Aid / Q000379:methods; D050723:Fractures, Bone / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008889:Military Personnel; D014218:Triage; D014586:USSR; D014948:Wounds, Gunshot / Q000150:complications / Q000628:therapy*
vernacular_title: Obshchee i mestnoe lechenie ranenykh s ognestrel'nymi perelomami na étapakh meditsinskoĭ évakuatsii.