Articolul precedent |
Articolul urmator |
388 9 |
Ultima descărcare din IBN: 2023-05-19 10:13 |
SM ISO690:2012 PALADII, Irina, KUSTUROV, Vladimir, KUSTUROVA, Anna, GHIDIRIM, Gheorghe. Management în politraumă. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 432. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Rezumat | ||||||
Background. The perfection of the medical conduct of polytrauma patients is the vast task of modern surgery. Objective of the study. Rationalization of the management of polytrauma patients. Material and Methods. Study (n=26) of patients with polytrauma. Men 17(65,38%). Women 9(34.61%), 3 pregnant women. The average age 38,26±15,03 years. Patients investigated and treated at the same time. It was diagnosed: pelvic fractures (n=26); trauma: cranial (n=26), thoracic (n=20), abdominal with intraabdominal hemorrhage (n=18). Results. The treatment strategy depended on the severity of the trauma. Polytraumatized (n=18) with pelvic fractures type A, B; ISS=21,52 ± 0,11. Performed thoracocentesis (n=16), laparotomy, stabilization of the pelvic ring. Polytraumatized (n=8) with fracture of the pelvis type C, trauma associated to the thorax and abdomen, unstable hemodynamics, shock IIIgr., ISS=47,82±0,15. Treatment: stopping internal bleeding, restoring lung function, stabilizing the pelvic ring with external fixation. Results of surgical treatment according to the S.A.Majeed scale (1989): at 25 satisfactory, including pregnant women, 1(3,84%) patient died. Conclusion. The management of the polytraumatized was determined by the actions of a specialized team. Primary measures included drainage of the pleural cavity, laparotomy and stabilization of the pelvic ring. The final replacement of the pelvic bones was performed after urgent operations. |
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Cuvinte-cheie polytrauma, management, politrauma, management |
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