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[感染背景下战伤的临床特征]

[The clinical characteristics of combat injuries against a background of infections].

作者信息

Leshchenko I G, Liashenko Iu I, Bratiĭchuk A N

出版信息

Voen Med Zh. 1991 Jan(1):47-9.

PMID:2014662
Abstract

In 1985-1987 in Afghanistan 75 wounded, who at the same time had infectious diseases (benign tertian malaria, viral hepatitis, typhoid, dysentery, amebiasis), and 51 patients with gunshot wounds of soft tissues had a checkup and treatment. The control group was consisted of 54 sound volunteers. All the patients, 18-30 years old, male sex, were examined for the dynamics of general and special features of the wound process, hemogram and index of reactivity (Rotter-Kavetsky test). It was found out that in the indicated conditions the process of healing of tissue was worsening considerably because of the infection, off syndrome of the reciprocal aggravation arose. The qualitative initial surgical treatment of wounds, influence upon the reactivity of the organism, opportune diagnosis and treatment of the infectious diseases promote the shortening and improve the outcome of illness.

摘要

1985年至1987年期间,在阿富汗,对75名同时患有传染病(良性三日疟、病毒性肝炎、伤寒、痢疾、阿米巴病)的伤员以及51名软组织枪伤患者进行了检查和治疗。对照组由54名健康志愿者组成。所有患者年龄在18至30岁之间,均为男性,检查了伤口愈合过程的一般和特殊特征动态、血常规及反应性指标(罗特-卡韦茨基试验)。结果发现,在上述情况下,由于感染,组织愈合过程明显恶化,出现了相互加重的综合征。对伤口进行定性的初期外科治疗、对机体反应性的影响、及时诊断和治疗传染病,有助于缩短病程并改善疾病结局。

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