[Using tactics of damage control in complex treatment of the abdominal cavity organ injuries and pancreatitis complicated by severe bleeding and vasodilatation shock].
The results of surgical treatment analysis was conducted in 39 injured persons, aged 16-74 yrs, who suffered severe trauma and pancreatitis and in whom the Damage Control tactics (DCT) was applied for massive bleeding and vasodilatation shock occurrence. According to TRISS scale for injured persons, suffering severe trauma, operated on using the DCT principles, the primary "approximate" prognosis of the death ("blunt") had constituted (37.4 +/- 24.7)% at average (range, 10.7-89.7%, mediana 31.7%); the primary "accurate" ("penetrating") prognosis--(39.56 +/- 22.14)% (range, 12-91.3%, mediana 39.65%); the severity of general state according to APACHE II scale was estimated as (19.54 +/- 7.65) points at average (range, 12-36 points, mediana 16 points). The characteristic for main principles of operation performance, using the DCT, was suggested. Of the total of 39 injured persons 12 (30.8%) did not survive. Postoperative complications had occurred in 18 (46.2%) of patients.
Krivoruchko
I A
IA
Boĭko
V V
VV
Teslenko
S N
SN
Berezka
N I
NI
Zamiatin
P N
PN
Balaka
S N
SN
Panov
V N
VN
D018806:APACHE; D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D011379:Prognosis; D012769:Shock / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000601:surgery*