[Pediatric polytrauma].
Based on earlier knowledge, the severe multiple injuries are classified according to dominating symptoms into several groups. Of the total number of 277 cases of polytraumatism treated in our clinic in 1977-1986, the highest mortality (i.e. 75%) occurred in the group without a dominating injury in which a severe trauma affects different organs and or body systems so that it is not possible to decide which of them ist the most important. The second group of patients with injured head and chest was classified (56% of mortality); in these patients a limited ventilation capacity, hypoxia, increased level of CO2 and acidosis caused the brain oedema. The definition of a proper sequence of reconstruction of individual damaged organs is of cardinal importance for the survival of patients. Interventions of vital indication must be performed in time even under unfavourable conditions because no resuscitation can replace a causal surgical intervention.
Macik
I
I
Ludvikovsky
J
J
Chvatal
L
L
Bartl
V
V
D002648:Child; D003604:Czechoslovakia; D005392:First Aid; D006801:Humans; D009104:Multiple Trauma / Q000401:mortality / Q000628:therapy*; D011379:Prognosis
Beitrag zum kindlichen Polytrauma.