Briusov P G, Efimenko N A, Rozanov V E
Vestn Khir Im I I Grek. 2001;160(1):43-7.
The authors share their experiences with diagnosing and surgical treatment of 1792 patients with mechanical combined traumas. The average age of the patients was (31.6 +/- 1.4) years. All the patients were divided into two groups according to the medico-diagnostic methods. The traditional methods of diagnosis and treatment were used in 811 patients of the first group. Complications took place in 39.2%, lethality was 28.4%. The diagnosis in 981 patients of the second group included an ultrasound investigation, computed tomography, videothoraco- and laparoscopy. The surgical treatment was based on the objective multifactorial assessment of the trauma severity and determination of the prognosis criteria. Complications developed in 24.8% of the patients. Lethality was 19.5%.
作者分享了他们对1792例机械性复合创伤患者的诊断及手术治疗经验。患者的平均年龄为(31.6±1.4)岁。根据医学诊断方法,所有患者被分为两组。第一组的811例患者采用传统的诊断和治疗方法。并发症发生率为39.2%,死亡率为28.4%。第二组的981例患者的诊断包括超声检查、计算机断层扫描、电视胸腔镜和腹腔镜检查。手术治疗基于对创伤严重程度的客观多因素评估及预后标准的确定。24.8%的患者出现了并发症。死亡率为19.5%。