Introducere: Traumatismul se situiaza printre primele cauze de complicatii (79%) si mortalitate (70%), cu un cost semnificativ uman, economic si social. Dezvoltarea complicatilor in traumatismul pelvio-abdominal nu sunt o exceptie, dar se apropie de regularitate. Scopul: Dezvaluirea spectrului si prevalentei complicatiilor postraumatice. Material si metode: Este prezentata analiza complicatiilor lotului de studiu (LS) a 152 pacienti cu traumatism pelvio-abdominal. B/F-2,16. Varsta medie 38,81±16,03 ani. ISS=38,84±6,76 puncte. A fost depistat: trauma cranio-cerebrala in 73,02% cazuri; trauma toracelui - 76,31%; hemo-pneumo-torax - 40,13%; trauma abdominala, fracturi pelviene, hemoragiile intraabdominale - 100%; fracturi extremitatilor la 45,39% cazuri, s.a. Conduita diagnostico-curativa conform schemei standarde. Rezultate: In LS (n=152) la 116 (76,31%) pacienti s-au constatat complicatii. Au fost depistate 3 maxime de complicatii la 1; 6; 14 zi a tratamentului. Primele zile post-traumatice s-au caracterizat prin anemie, soc traumatic, insuficienta cardio-respiratorie acuta ca o reactie la trauma. Pe parcursul a 6-8 zile s-au dezvoltat complicatii infectioase: pneumonie (n=41), pielonefrita (n=4), cistita(n=4), etc. La a 12 zi s-au constatat complicatii severe: TEAP(n=4), CID(n=3), MODS(n=20), uroflegmon(n=2), etc. S-a depistat prevalenta complicatiilor postraumatice la pacientii cu: indicii inalti a severitatii traumei in 1,07 ori; acutizarea patologiilor concomitente cronice 38,15% (n=58); dupa tratament chirurgical de 4,5 ori, s.a. Sa conchis, ca in 61% cazuri, decesul (41,44%) a survenit in urma complicatiilor. Concluzii: S-a stabilit prevalenta complicatiilor postraumatice la pacientii cu politraumatism sever; fracturi a scheletului; tratament chirurgical; acutizarea patologiilor concomitente cronice; s.a. Micsorarea numarului de complicatii frecvente si mortalitatii depinde de tratamentul complex si oportun.

Introduction: Trauma is among the top causes of complications (79%) and mortality (70%), with a significant cost in human, economic and social. Developing complications in pelvioabdominal trauma are not an exception, but is approaching to regularity. Aim: Disclosure spectrum and prevalence of post-traumatic complications. Material and methods: An analysis of complications in 152 patients with pelvio-abdominal traumatism is presented. M/F-2,16. Mean age 38,81±16,03 years. ISS=38,84±6,76 points. Injuries: brain trauma in 73,02% cases; chest trauma - 76,31%; hemo-pneumo-thorax- 40,13%; abdominal trauma, pelvic fractures, abdominal bleeding - 100%, fracture of extremities in 45,39% cases, etc. The diagnosis-treatment management was performed according to standard scheme. Results: In the study group (n=152) in 116(76,31%) patients complications occurred. It was found 3 peaks of complications on 1; 6; 14 days of treatment. The first post-traumatic days were characterized by acute posttraumatic blood loss, shock, cardio-respiratory acute insufficiency as acute response to trauma. During the 6-8 days infectious complications had developed: pneumonia (n=41), pyelonephritis (n=4), cystitis (n=4), etc. At 12th day were observed severe complications: TEAP(n=4), CID(n=3), MODS(n=20), uroflegmon (n=2), etc. It has found the prevalence of posttraumatic complications in patients with: the high level of trauma severity in 1,07 times; acute exacerbation of chronic concomitant pathologies 38,15% (n=58); after surgical treatment in 4,5 times, etc. It concluded, that in 61% of cases, death (41,44%) occurred from complications. Conclusions: It has been established the prevalence of posttraumatic complications in patients with severity and politrauma; skeletal fractures; surgical treatment; acute exacerbation of chronic concomitant pathologies; etc. Reducing the number of frequent complications and mortality depends on complex and timely treatment.