[Postaggressive metabolism in severe mechanical trauma].

Posttraumatic adaptive reactions are divided by the authors into three periods: the period of "urgent" adaptation (1-2 days), intermediate period (3-7 days) and the period of "long-term" adaptation (after 7 days). The period of "urgent" adaptation may be considered to be more favorable for surgical interventions under conditions of adequate anesthesiological maintenance. A critical associated trauma unlike an isolated one was found to cause more pronounced and continuous strain of the endocrine and metabolic reactions related with the "urgent" adaptation which influences the frequency of complications and lethal outcomes.