Introducere: Datele literaturii constatã cã succesul tratamentului pacienåilor depinde de prevenirea complicaåiilor posttraumatice.
Scopul: Studierea factorilor predispozanåi în complicaåiile posttraumatice.
Materiale æi metode: Analizate rezultatele investigaåiilor: examenului clinic; USG; examenului radiologic, TC, laparotomie æi
tratamentului a 195 pacienåi cu politraumatism. Valoarea medie a vârstei a fost 39,45±16,29 ani. Multiple leziuni asociate. Fracturile
bazinului constatate la 78% pacienåi. Valoarea medie a severitãåii leziunilor traumatice la spitalizare, conform scorului:
GlasgowCS=11,25±3,26; AIS=10,58±3,78; ISS=36,78±16,99; SIAllgover=1,3±0,63. Æoc>II gradul diagnosticat la 68,2% pacienåi.
Rezultate: Analizaåi factorii, care au influenåat dezvoltarea complicaåiilor posttraumatice: vârsta pacienåilor, timpul „traumãspitalizare”,
severitatea leziunilor traumatice, maladiile concomitente, æ.a. În baza studiului efectuat, s-a stabilit ca din lotul studiului
a 195 pacienåi la 72,82% s-au dezvoltat complicaåiile posttraumatice cu letalitate 41,44%. La 86 pacienåi s-au înregistrat maladiile
concomitente: boala hipertonicã la 18(20,93%) pacienåi, infarct miocardului – 2(2,33%), stenocardie de efort - 4(4,65%),
insuficienåa renalã cronicã - 9(10,47%), diabet zaharat - 7(8,1%), astm bronæic – 2(2,33%), boala ulceroasã – 4(4,65%), bolile
sistemului nervos – 6(6,98%), boala ischemica a cordului – 18(20,33%), obezitate - 8(9,32%). Acutizarea maladiilor cronice
concomitente înregistrate în 52,8% (n=75). Din 50 pacienåi, care au suportat pneumonie, maladii respiratorii cronice s-au acutizat
la 15; la 24 pacienåi s-au dezvoltat insuficienåa cardio-vascularã acutã, din ei la 12 pacienåi pe fondalul maladiilor cardiace cronice.
Acutizarea maladiilor concomitente a fost înregistratã la bolnavi vârstnici, cu traumatism grav.
Concluzii: In politraumatism, factorii predispozanåi în dezvoltarea complicaåiilor, aparente în 72,82% cazuri, au fost acutizarea
maladiilor concomitente cronice în 52,8%(n=75), vârsta >60 ani, traumatism grav (ISS>50p.), argumentând necesitatea tratamentului
complex la pacienåi vârstnici cu traumatism grav.

Introduction: Literature data confirm that success of the treatment depends on the prevention of post-traumatic complications.
Aim: Study of predisposing factors of post-traumatic complications
Material and methods: We analysed data of physical examination, USG, X-rays, CT, laporotomy and treatment outcomes in 195
polytrauma patients. Mean age was 39,45±16,29 years. Grade of severity was evaluated at admission: Glasgow CS = 11,25±3,26;
AIS=10,58±3,78; ISS=36,78±16,99; SIAllgover=1,3±0,63. Shock more than II gr. was diagnosed in 68,2% patients.
Results: We analyzed factors that influenced on posttraumatic complications: age, time interval between trauma and admission,
injury severity, comorbidity, etc. Posttraumatic complications were developed in 72,82% in study group (n=195) with letality in
41,44%. Concomitant diseases were established in 86 patients: hypertonic disease in 18(20,93%) cases, heart attack – 2(2,33%),
stenocardy - 4(4,65%), chronic kidney failure - 9(10,47%), diabetis - 7(8,1%), bronchial asthma – 2(2,33%), ulcer disease –
4(4,65%), pathology of nervous system – 6(6,98%), ischemic heart disease – 18(20,33%), obezity - 8(9,32%). In the study group
of 50 patients, who had suffered pneumonia, chronic respiratory diseases were registered in 15 of them; in 24 patients acute
cardio-vascular insufficiency was developed, out of them in 12 patients on the background of chronic heart disease. Acutization of
concomitant chronic diseases was established in elderly patients with severe trauma.
Conclusions: Predisposing factors in the development of the complications, observed in 72,82% cases, in polytrauma, were: the
acutization of chronic concomitant diseases in 52,8%(n=75), age>60 years, severe trauma (ISS>50), that arguments the necessity
of complex treatment for elderly patients with severe trauma