FEATURES OF DIAGNOSTICS AND TREATMENT OF EXTREMELY SEVERE COMBINED INJURY

FEATURES OF DIAGNOSTICS AND TREATMENT OF EXTREMELY SEVERE COMBINED INJURY

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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 Rolling Machines 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 re commend an application of up-to-date prevention sepsis treatment, late reconstructive - restorative operation performance after its Wooden Train Set 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%.