Surgical Tactics at Severe Concomitant Injury of the Chest in Early Stage of Traumatic Disease: Diagnosis, Treatment, Outcomes

Long-term experience in treatment of patient with concomitant chest injuries is presented. The authors distinguish two main types of severe concomitant injuries of the chest - monoconcomitant (49.7%) and polyconcomitant (50.3%). In such injuries the difficulty of the clinical picture is caused by the syndrome of mutual aggravation and depression of immune system. Thus, in 62% of cases clinical manifestations are inadequate to the pattern and severity of the separate organs injury. Under modern clinical conditions the difficulty of diagnosis are overcome by means of objective instrumental methods of examination. Surgical tactics consists of a single general complex of measures on elimination of critical states as well as specific tactical activities depending on the peculiarities of the injury. Maximum possible accuracy of the choice of surgical tactics depends on the dominant injury detection.