Outcome prognosis in combined trauma of loco-motor system and brain injury at early hospital period

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Retrospective study of complications and lethality in 284 victims with combined brain and loco-motor system injury allowed to determine the most important complications that were the cause of lethal outcomes in a great number of cases. Those complications were edema and cerebrum dislocation, acute bleed, early and delayed pneumonia. Purulence of soft tissue wounds and open fractures significance influenced the duration and outcome of treatment. Criteria and schemes of outcome prognosis as well as development of soft tissue wounds and open fractures purulence were worked out.

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V. Sokolov

Moscow Institute of Emergency Medicine. N.V. Sklifosovsky

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Email: info@eco-vector.com
俄罗斯联邦, Moscow

E. Bialik

Moscow Institute of Emergency Medicine. N.V. Sklifosovsky

Email: info@eco-vector.com
俄罗斯联邦, Moscow

I. Sharipov

Moscow Institute of Emergency Medicine. N.V. Sklifosovsky

Email: info@eco-vector.com
俄罗斯联邦, Moscow

V. Shchetkin

Moscow Institute of Emergency Medicine. N.V. Sklifosovsky

Email: info@eco-vector.com
俄罗斯联邦, Moscow

M. Semenov

Moscow Institute of Emergency Medicine. N.V. Sklifosovsky

Email: info@eco-vector.com
俄罗斯联邦, Moscow

S. Markov

Moscow Institute of Emergency Medicine. N.V. Sklifosovsky

Email: info@eco-vector.com
俄罗斯联邦, Moscow

Yu. Ioffe

Moscow Institute of Emergency Medicine. N.V. Sklifosovsky

Email: info@eco-vector.com
俄罗斯联邦, Moscow

参考

  1. Гвоздев М.П., Гальцева И.В., Цыбин Ю.Н., Шапот Ю.Б. //Вестн. хирургии, — 1993. —N 10. — С. 135— 139.
  2. Гринев М.В., Фролов Г.М. //Вестн. травматол. ортопед. — 1994. — N 1. — С. 4—9.
  3. Benzer A., Mitterchiffthaler G., Marosi M. //Lancet. — 1991. — Vol. 338, N 8. — P. 977—979.
  4. Hofman D., Adams H.A., Stuhmeier B.G. //Acta Chir. Austr. — 1992. — Bd 24, N 5/6. — S. 296—300.
  5. Lechner G., Maier A. //Ibid. — 1992. — Bd 24, N 5/6. — S. 303—309.
  6. Maurer F. //Akt. Traumatol. — 1993. — Bd 23, N 1. — S. 42—49.

补充文件

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1. JATS XML
2. Scheme 1. Predicting a lethal outcome due to edema and dislocation of the brain in concomitant brain injury (Group 1)

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3. Scheme 2a. Prediction of death due to acute blood loss in concomitant musculoskeletal injury (Group 2)

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4. Scheme 2b. Predicting a lethal outcome due to acute blood loss in a combined equally severe brain injury and ODA (group 3)

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5. Scheme 3. Predicting a lethal outcome due to the development of early (up to 3 days) pneumonia in concomitant brain injury (Group 1)

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6. Scheme 4. Predicting a lethal outcome due to the development of pneumonia over 3 days in case of combined brain injury and musculoskeletal insufficiency (groups 1–3)

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