title: [FEATURES OF DIAGNOSTICS AND TREATMENT OF EXTREMELY SEVERE COMBINED INJURY].
abstract: The data of examination and treatment of 356 victims with extremely severe combined injury and shock of III degree were analyzed. All the patients had a medical unfavorable life prognosis. On the basis of the research, it was proved, that the modern approach of treatment of such trauma should include an adequate anti-shock treatment in conditions of the first-level trauma center. The operative activity should be increased in cases of combined trauma of bones by their early external fixation. The authors recommend an application of up-to-date prevention sepsis treatment, late reconstructive--restorative operation performance after its full relief and nutritive metabolic therapy. This approach allowed reducing of the rate of life-threaten infectious complications on 32.4% and noninfectious--on 31.7%, the lethality--on 24%.
authors.forename: A N
authors.initials: AN
authors.lastname: Tulupov
authors.forename: G M
authors.initials: GM
authors.lastname: Besaev
authors.forename: G I
authors.initials: GI
authors.lastname: Sinenchenko
authors.forename: S Sh
authors.initials: SSh
authors.lastname: Taniya
authors.forename: V G
authors.initials: VG
authors.lastname: Bagdasar'yants
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D010043:Outcome and Process Assessment, Health Care; D011379:Prognosis; D012086:Reoperation; D012189:Retrospective Studies; D012426:Russia / Q000453:epidemiology; D012774:Shock, Traumatic / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000379:methods; D016019:Survival Analysis; D018746:Systemic Inflammatory Response Syndrome / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D015599:Trauma Severity Indices