Optimization of diagnostic and treatment algorhythm of blunt thoracic traumas in patienrs with combined thoracic and brain trauma.

Authors

  • A. B. Kytovyi
  • V. V. Pymakhov

DOI:

https://doi.org/10.26641/2307-0404.2016.1.63470

Keywords:

сraniothoracic trauma, videothoracoscopy, chest stabilisation

Abstract

Results of treatment of 71 victims with combined blunt thoracic and brain trauma were analysed. In the main group (n=35) there was used algorithm, envisaging videothoracoscopic interventions and widening indications for chest stabilization. Mentioned above technique enabled to increase efficiency of diagnostic and treatment in patients with mild and moderately severe brain trauma; this was reflected both in acceleration of restoration of respiratory index by 5,8 days, consciousness – by 4,3-4,9 days depending on trauma severity and decrease of postoperative complications and lethality number.

Author Biographies

A. B. Kytovyi

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Surgery № 2
Soborna sq., 14, Dnepropetrovsk, 49100, Ukraine

V. V. Pymakhov

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Surgery № 2
Soborna sq., 14, Dnepropetrovsk, 49100, Ukraine

References

Нейрореаниматология: нейромониторинг, при¬нципы интенсивной терапии, нейрореабилитация: [монография] / под. общей ред. Член-корреспондента НАН и НАМН Украины, д-ра мед. наук проф. Л.В. Усенко., д-ра мед. наук Л.А. Мальцевой — Т.1 — Днепропетровск: Арт-пресс, 2008. — 296 с.

Фетисов Н.И. Стандартизация оказания хи-рурги¬ческой помощи больным с осложнениями то-ракальной травмы / Н.К. Ермолаева, А.Н. Фетисов // Материалы съезда хирургов Российской Федерации. – Волгоград, 2011. –С. 632-633.

Хирургия. Модуль 2: учебное пособие / под. ред. д-ра. мед. наук, проф. А.Б. Кутового, – Днепро-петровск: Системные технологии, 2015. – 7 с.

Leppäniemi A.K. Thoracoscopy in chest trauma: an up¬date / A.K. Leppäniemi // Trauma.-2011.-Vol.3.-P. 111-117.

Rao R. Ivatury. Thoracoscopy for Trauma / R. Rao // Eur. J. Trauma. – 2010. – Vol. 36. – P. 8-15.

REFERENCES

Usenko LV, Maltsevoy LА. [Neuroreanima¬to-logy: neuromonitoring, intensive therapy principles, neuroreabilitation]. [Monography]. Dnepropetrovsk, «Art-press», 2008;1:296. Russian.

Fetisov NI, Yermolayeva NK. [Surgical aid stan-dartization for patients with complicated chest trauma]. Materials of Russian Federation surgeons meeting 25-27.05.11. Volgograd. 2011;632-633. Russian.

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Leppäniemi AK. Thoracoscopy in chest trauma: an update "Trauma", 2011;3:111-117.

Rao R. Ivatury. Thoracoscopy for Trauma. "European Journal of Trauma", 2010;36:8-15.

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Published

2019-10-16

How to Cite

1.
Kytovyi AB, Pymakhov VV. Optimization of diagnostic and treatment algorhythm of blunt thoracic traumas in patienrs with combined thoracic and brain trauma. Med. perspekt. [Internet]. 2019Oct.16 [cited 2024May18];21(1):40-6. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/63470

Issue

Section

CLINICAL MEDICINE