Optimization of diagnostic and treatment algorhythm of blunt thoracic traumas in patienrs with combined thoracic and brain trauma.
DOI:
https://doi.org/10.26641/2307-0404.2016.1.63470Ключевые слова:
сraniothoracic trauma, videothoracoscopy, chest stabilisationАннотация
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.
Библиографические ссылки
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.
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