Criteria for integral diagnosis and treatment of chest polytrauma in children
Abstract
Abstract: Currently, the treatment and diagnosis of mixed chest injuries in children is one of the most pressing problems in emergency pediatric surgery.
Materials and methods of research: 63 children with chest injuries of varying severity and localization were admitted to the Center for Pediatric Surgery of SamMU for the period 1996-2022. There were 39 children with combined chest injury. Thoracotomy was performed on 8 children, 22 underwent video thoracoscopic surgical interventions. The age ranged from 3 to 15 years.
Results of the study: A retrospective analysis of the treatment of 39 children with combined injuries was carried out. The patients were divided into 4 groups according to the severity of shock according to the Algover classification.
Conclusion: As a result of a retrospective analysis of the use of various surgical approaches, the severity of the existing injuries and the possibility of their elimination, it was shown that the Algover shock index allows fairly objectively predicting the possibility of performing therapeutic VTS in children with combined chest injury and is directly correlated with the probability of BBTRISS survival, which correlate with the degree of shock and existing injuries in the patient.
About the Authors
List of references
Sharipov Compiled A.M., Safarov Z.F. Problemi sovremennoy dogospitalnoy pomotshi I mediisini katastrof / / Vestnik NDMS. 2022. №2.
Archipov D.M. Videotoracoscopy V diagnostics I lechenii ranenius grudi: diss. Kand.med.Nauk. Moscow, 1999
Davlyatov S.B. Lechebnaya taktika PRI otkritikh I zakritikh povrejdeniyakh organov grudnoy Polo U
detey. / Ibadullosov X.U / / v SB. Material Rossiyskogo simpoziuma detskix hirurgov "Travmaticheskie
vnutripolostnie krovotecheniya he detey. Reanimatologicheskie I hirurgicheskie aspect". Yekaterinburg.-2008. - S.88-89
Jestkov K.G. Miniinvazivnie operasii PRI oslojnennoy zakritoy travme grudi. / Barsky B.V.// Material
mejdunarodnoy conference "Novie technologii V voenno-Polevoy hirurgii I hirurgii povrejdeniy mirnogo vremeni". - SPB. - 2006. - S. 75-76.
Isakov Yu.F. Torakoskopicheskie I videoassistirovannie operasii na organax grudnoy kletki he detey. /Stepanov E.A., Razumovsky A.Yu / / Surgery. – 2003. - №3. - S.22 – 25.
Omonova, U., Safarov, Z., Alimov, A., Sharipova, D., Gafurov, N. (2023). Analizi rezultatov travmaticheskix povrejdeniy, poluchennix V khode dorozhno-transportnix proisshestviy U detey. Journal Biomedical I practical, 1 (3/1), 405-410.
Safarov Zafar Fayzullaevich, Khakimov Dzhasur Pulatovich, Akhmatalieva Mayram Akhmatalievna,
Alimov Akhror Abdurasulovich Diagnostics Veskaya znachimost indexsa Algovera dlya rannego raspoznovania Shoka U detey // problemi Nauki. 2019. №5 (138).
Tilyakov Compiled A.B, Tilyakov X.A. Nazarov S.P. Primenenie maloinvazivnix technologiya PRI lechenii
oporno-avtokinnogo apparatus U postradavshix s politavmoy / / Journal Biomedicine I praktiki Tom7,
number№2 s.335-345.
Safarov Z. F. I Dr. Primenenie scale SOFA V prognozirovanii iskhodov kriticheskix sostoyaniy U detey / /
problemi sovremennoy nauki I obrazovaniya. – 2018. – №. 7 (127). - S. 82-90.
Safarov Z. F. I Dr. Sravnitelny analysis integralnix otsenochnix system dlya prognostirovaniya iskhodov kriticheskix sostoyaniy U detey / / Medisina: theory I Praktika. – 2019. - T. 4. - S. 498-499.
Allgower M. Dtsch Med Wschr. / S. Burry, A. Schock index/ / 1967.- 92: 43: R.1947—1950.
Baker S.P. The Injury Severity Score: a method for describing patients with multiple injuries and evaluation emergency care. / B. O’neil, W. Haddon, W.B. Long / / J Trauma. - 1974.- Vol. 14.- R. 187—196. Version 4 March 2024 Herald of the National Children’s Medical Center 6
Boyd C.R. Evaluation Trauma Care: The TRISS Method Trauma Score and the Severity Score. / M.A.Tolson, W.S. Sore. // J Trauma. -1987. -№ 27. - R. 370—378.
Champion H.R. A Revision of the Trauma Score. / W.J. Sacco, W.S. Copes / / J Trauma. - 1989.- № 29.- R. 623—629.