[Specialized surgical care of severe mechanical multiple trauma].
The authors share their experiences with diagnosing and surgical treatment of 1792 patients with mechanical combined traumas. The average age of the patients was (31.6 +/- 1.4) years. All the patients were divided into two groups according to the medico-diagnostic methods. The traditional methods of diagnosis and treatment were used in 811 patients of the first group. Complications took place in 39.2%, lethality was 28.4%. The diagnosis in 981 patients of the second group included an ultrasound investigation, computed tomography, videothoraco- and laparoscopy. The surgical treatment was based on the objective multifactorial assessment of the trauma severity and determination of the prognosis criteria. Complications developed in 24.8% of the patients. Lethality was 19.5%.
P G
PG
Briusov
N A
NA
Efimenko
V E
VE
Rozanov
D000007:Abdominal Injuries / Q000175:diagnosis / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D006259:Craniocerebral Trauma / Q000175:diagnosis / Q000601:surgery*; D003627:Data Interpretation, Statistical; D005121:Extremities / Q000293:injuries; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D011379:Prognosis; D013124:Spinal Injuries / Q000175:diagnosis / Q000601:surgery*; D013898:Thoracic Injuries / Q000175:diagnosis / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted; D015599:Trauma Severity Indices