DOI: 10.25881/20728255_2023_18_3_41

Authors

Solod E.I. 1,2, Kuksa D.N.1, Abdulkhabirov M.A. 1, Zagorodny N.V., Jojua A.V.3, Karpovich N.I.1

1 RUDN University, Moscow

2 Scientific and Medical Research Center of Traumatology and Orthopedics named after N.N. Priorova, Moscow

3 Pirogov National Medical and Surgical Center, Moscow

Abstract

The article studies the issues of treatment features in patients with a dominant thoracoabdominal injury in polytrauma.

Aim study – improving the results of treatment of patients with polytrauma with a dominant thoracoabdominal injury by analyzing the causes of lethal cases in this category of patients

Discussion and results. The analysis of lethal outcomes in patients with a dominant thoracoabdominal injury in polytrauma in a multidisciplinary city clinical hospital, which is a trauma center of the first level, was carried out. The features of the treatment of this category of victims were studied.

Conclusion. Based on the analysis, the main causes of deaths in the provision of medical care in patients with thoracoabdominal injuries were identified. The presented results are accepted for optimization of medical work in patients with polytrauma.

Keywords: polytrauma, thoracoabdominal injuries, mortality, lethality, emergency medical care, surgery.

References

1. Hliyan EH, Sarkisyan VA, Andreev EV. Hirurgicheskaya taktika u postradavshih s torakoabdominal'nymi travmami. Vestnik Nacional'nogo mediko-hirurgicheskogo centra im N.I. Pirogova. 2014; 9(1): 102-114. (In Russ.)

2. Bagnenko SF, SHapot YUB, Tulupov AN, Kartashkin VL. Zakrytye travmy zhivota, soprovozhdayushchiesya shokom (diagnostika, hirurgicheskaya taktika i lechenie). Uchebno-metod. posobie SPbNII skoroj pomoshchi im I.I. Dzhanelidze. SPb, 2006. 102 р. (In Russ.)

3. Bagnenko SF, SHapot YUB, Tulupov AN, et al. Sochetannye povrezhdeniya grudi, soprovozhdayushchiesya shokom (diagnostika, hirurgicheskaya taktika i lechenie). Uchebno-metod. SPb., NII skoroj pomoshchi im I.I. Dzhanelidze. SPb. 2006. – 160 s. (In Russ.)

4. Reva VA. Prakticheskoe rukovodstvo po Damage. Sankt-Peterburg: R-KOPI, 2018. 370 р. (In Russ.)

5. Hat'kov IE, Hodos GV, Pankratov AA, et al. Pervyj opyt primeneniya maloinvazivnyh tekhnologij v hirurgii travmaticheskih povrezhdenij grudnoj kletki i bryushnoj polosti. Endoskopicheskaya hirurgiya. 2009; 3: 9. (In Russ.)

6. Renz BM, Feleciano DV. Unnecessary laparotomies for trauma: a prospective study of morbidity. J Trauma. 1995; 38: 350-353.

7. Sharma OP. Traumatic diaphragmatic rupture: non an uncommon entity-personal experience with collective review of the 1980. J Trauma. 1989; 29: 768.

8. Tulupov AN, Sinenchenko GI. Torakoabdominal'naya travma. SPb: Foliant, 2016. 492 р. (In Russ.)

9. Tulupov AN, Manukovskij VA. Politravma: rukovodstvo dlya vrachej. Moskva: GEOTAR-Media, 2022. 960 р. (In Russ.)

10. Su WT, Cheng SR, Chou Sheng EN, Yua-Tsai C. Association between elevated De Ritis ratio and mortality outcome in adult patients with thoracoabdominal trauma.

11. Agalaryan AH. Optimizaciya podhodov k lecheniyu postradavshih s povrezhdeniyami organov grudnoj kletki i bryushnoj polosti pri politravme. [avtoreferat dissertation] Leninsk-Kuzneckij, 2020. (In Russ.)

12. Wain H, Manchev V, Bruce JL, et al. Transdiaphragmatic pericardial washout post penetrating cardiac ingury found incidentally ast diagnostic laparoscopy. South African Journal jf Surgery. 2022; 4: 321-323.

13. Katayama Y, Tanaka K, Ishida K, Hirose T. Factors associated with traumatic diaphragmatic rupture among patients wish Chest or abdominal injury: a nationwide study from Japan. J. Clin.Med. 2022; 11: 118-127.

14. Walid M, Mubarak AA. Patern in-hospital mortality of thoracoabdominal injuries associated with motor vehicle Accident related head injury: a single-centr rwtrospective study. Applied Bionics and Biomechanics. 2022. doi:10.1155/2022/3602838.

15. Aliev SA, Rafiev SF, Zejnalov BM. Diagnostika i hirurgicheskoe lechenie razryvov diafragmy. Hirurgiya. 2010; 10: 22-28. (In Russ.)

16. Kubachev KG, Omarov ISH, Gadzhiev SHA. Endovideohirurgicheskie vmeshatel'stva pri zakrytoj i otkrytoj torakoabdominal'noj travme. Trudy Mezhdunarodnogo hirurgicheskogo kongressa «Novye tekhnologii v hirurgii». Rostov-na-Donu, 2005. Р.21. (In Russ.)

17. Sotnichenko BA, Makarov VI, Kalinin OB., et al. Oshibki diagnostiki i hirurgicheskoj taktiki pri razryvah diafragmy. Vestnik hirurgii. 2008; 3: 19-23. (In Russ.)

18. Taniya S. SH. Lechenie postradavshih s tyazheloj sochetannoj travmoj. [dissertation] Sankt-Peterburg, 2015. (In Russ.)

For citation

Solod E.I., Kuksa D.N., Abdulkhabirov M.A., Zagorodny N.V., Jojua A.V., Karpovich N.I. Features of treatment in patients with dominant thoracoabdominal trauma in polytrauma. Bulletin of Pirogov National Medical & Surgical Center. 2023;18(3):41-50. (In Russ.) https://doi.org/10.25881/20728255_2023_18_3_41