Gavrilin S V, Samandarov V Kh, Boiarintsev V V, Lopata V N, Lebedev V F
Anesteziol Reanimatol. 2003 Jul-Aug(4):39-41.
The results of rendering the intensive care to 2244 patients with severe wounds and traumas were analyzed, which made it possible to define the most topical problems needed to be resolved, i.e. treatment schemes for patients with vegetative state (similar to coma) and with asthenic syndrome, perfection of intensive care for the elderly and absolutization of some intensive care techniques. Perspective solutions are suggested to cope with the above issues, which comprise a bigger quantity of rehabilitation centers, an elaboration of pathogenetic tactics of intensive care for the elderly patients and revising the feasibility of a long-term use of the intensive care methods with respect to the regulation and integration suppressed by such methods.
对2244例严重创伤患者的重症监护结果进行了分析，从而明确了最亟待解决的问题，即植物人状态（类似昏迷）和虚弱综合征患者的治疗方案、完善老年患者的重症监护以及强化某些重症监护技术。针对上述问题提出了前瞻性解决方案，包括增加康复中心数量、制定老年患者重症监护的病因治疗策略，以及根据此类方法所抑制的调节和整合作用，重新评估长期使用重症监护方法的可行性。
