[The analysis of clinical management of polytrauma in the last 14 years].
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Biomedical subjects
Publications and source records attributed to A D Pugachev.
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The experience with treatment of acute ileus for the 5 years in 1032 patients is summarized. Operated on were 269 patients. The different types of operative interventions with a wide use of intubation, adsorbents, laparostomy were performed. The postoperative lethality was 9.2%.
The experience with diagnosis and treatment of closed abdominal injuries in a specialized department of polytrauma for 3 years is summarized. The diagnostic and surgical tactics in given pathology consisting in early diagnosis of possible injuries to the viscera and emergency operative intervention is presented.
In all the 1746 patients, who died from trauma, the multiple and associated injuries were revealed. Multiple wounds of a head and thoracicoabdominal trauma, shock, blood loss, combination of two and more severe injuries were the leading cause of death. The aid to the patients with polytrauma at all the stages of treatment should be given with maximal promptitude, admission to the multiprofile hospitals is expedient.
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The first experience with diagnosis and treatment of open injuries to the abdomen in the specialized department of polytrauma is summarized. Surgical tactics stipulates early diagnosis of the possible injuries to the internal organs, and emergency operative intervention with the volume depending on the character of an injury, severity of the state of a patient.
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