Kutushev F Kh, Chalenko V V, Akinchev A L, Sitkevich R V, Galebskaia L V
Vestn Khir Im I I Grek. 1988 Jan;140(1):100-3.
The role of predisposing factors in the development of complications in 1533 patients with closed traumas of the chest was studied as well as the dynamics of the state of the system of humoral regulation of microcirculation. The factors predisposing to the development of complications are the age older than 40, hospitalization later than 1 day from the trauma, double fractures of the ribs, injuries of lungs, hemothorax, concomitant diseases. In all the patients there was a subacute syndrome of disseminated intravascular coagulation, activation of the Kallikrein-Kinin system and inhibition of the complement system.
研究了1533例闭合性胸部创伤患者中诱发因素在并发症发生过程中的作用,以及微循环体液调节系统状态的动态变化。易引发并发症的因素包括年龄超过40岁、创伤后1天以后住院、肋骨双骨折、肺损伤、血胸及合并症。所有患者均出现弥散性血管内凝血亚急性综合征、激肽释放酶-激肽系统激活及补体系统抑制。