Analysis of the course and complications of multi-trauma in the patients of intensive care unit
DOI:
https://doi.org/10.11603/2414-4533.2016.1.5878Abstract
The reasons of early and late post-traumatic complications were anayized in 35 patients with severe combined trauma. The development of infectious and septic complications, such as acute adult respiratory distress syndrome and nosocomial pneumonia, was found in 43 % of patients on 5–7 days after injury. It was accompanied by post-injury multiple organ failure in 12 % of cases. The development of septic complications was observed in 25 % of patients with dominant abdominal-skeletal injuries within 7–10 days after trauma. We also observed the development of post-traumatic meningoencephalitis in 15 % of patients with severe craniocerebral or spinal cord trauma. It is proved that early metabolic support for patients with multiple trauma in a set of intensive care just following hemodynamic stabilization, water and electrolyte balance and oxygen status recovery should be considered for prevention of multiple organ dysfunction syndrome.
References
Феличано Д. В. Травма / Д. В. Феличано, К. Л. Маттокс, Э. Е. Мур. – М. : БИНОМ, 2013. – 495 с.
Глумчер Ф. С. Политравма / Ф. С. Глумчер, П .Д. Фомин, Е. Г. Педаченко . – К. : ВСИ ‟Медицинаˮ, 2012. – 735 с.
Политравма: травматическая болезнь, дисфункция иммунной системы, современная стратегия лечения / под ред. Е. К. Гуманенко, В. К. Козлова – М. : ГЭОТАР-Медиа, 2008. – С. 204–241.
Bochicchio G. V. Persistent systemic inflammatory response syndrome is predictive of nosocomial infection in trauma / G.V. Bochicchio, L. M. Napolitano, M. Joshi // J. Trauma. – 2012. – Vol. 53. – P. 245.
Gebhard F. Polytrauma-pathophysiology and management principles / F. Gebhard, M. Huber-Lang // Langenbecks Arch Surg. – 2008. – №. 393. – Р. 825–831.
Becker C. D. The trauma concept: the role of MDCT in the diagnosis and management of visceral injuries / C. D. Becker, P. A. Poletti // Eur. Radiol. – 2005. – № 15. – Р. 105–109.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
