Ускладнений перебіг травматичної хвороби при закритих торакоабдомінальних пошкодженнях

Особливості змін гемодинамічних і гомеостатичних показників при закритій сукупній торакоабдомінальній травмі. Залежність частоти розвитку ускладнень від обсягу оперативних втручань, особливостей їх виконання, тактики післяопераційного догляду пацієнтів.

Рубрика Медицина
Вид автореферат
Язык украинский
Дата добавления 10.01.2014
Размер файла 123,7 K

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Thesis is devoted to the issues of the diagnostics, treatment and prophylaxis of the postoperative period complications by the injured persons with the closed combined trauma of the thorax and abdomen.

Origin basic pathogenic mechanisms of the traumatic disease complicated flow by the closed thoracoabdominal injuries were determined. Based on this was worked out the algorithm of the medical diagnostics measures by the rendering of the particularized surgical help to this category of injured persons, were suggested the optimal surgical tactics and the new method of the surgical correction of the complicated sternum fracture.

Basic principles of the particularized surgical help rendering to the injured persons with the closed thoracoabdominal trauma were formulated. The predicted indexes, the dynamic analysis changes which allow to correct the tactics of the postoperative observation of the injured persons in time, were created. Carried out researches allowed to determine the optimal volume and mixture of the intravenous infusional therapy by the combined thoracoabdominal trauma. The approved method effectiveness of the early non-specific immunostimulation of the patients at the conditions of the immunodepression, which is formed consequently the shock mechanisms summation of its origin, the central lymphodynamics disturbance and the surgical ablation of the immunocompetent organs, was proved.

Key words: thoracoabdominal a trauma, traumatically illness, forecasting, shock.

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