[Specialized surgical aid for combined burn trauma in armed conflicts in Northern Caucasus].

The article presents the experience of delivery of specialized health care to injured persons with combined ambustions during battle actions on the territory of Chechenian Republic (1994-1996, 1999-2002). It was effectuated the analyze of delivery of health care in 202 cases of combined ambustions, wherein the ambusions is predominates: 87 in 1994-1996 and 115 in 1999-2002. In the structure of sanitarium losses the burned took 4.1% and 6.4%, in accordance. During different periods of battle actions combined ambustions took from 11 to 24% of all burns. Active surgical tactics of treatment of injured with combined ambustions, based on using of small-invasive methods of diagnostics and treatment, permits to degrade general lethality from 13.5 to 7.3%, and lethality between injured with middle and hard degree of gravity on 19 and 14% (p < 0.05). It's showed that it is wise to use a group of specialized medical aid on single direction for delivery of health care to injured with combined ambustions.