Bollarda ko’krak qafasi qo’shma jarohatlarini davolash va tashxislashni tanlash mezonlari
Referat
Maqsad. Ko’krak qafasi jarohatida Algover shok indeksini qo’llagan holda VTS qo’llash imkoniyatini bashoratlash.
Materiallar va usullar. Samarqand Davlat tibbiyot universiteti qoshidagi bolalar xirurgiya markazida 2012–2023 yillarda 63 nafar bolalarda ko’krak qafasining har xil og’irlikdagi jarohatlari va lokalizatsiyasi tahlil qilindi. Ko’krak qafasining aralash jarohatlari bilan 39 nafar bemor ro’yxatga olingan. 8 nafar bemorga torakotomiya, 22 nafariga esa videotorakoskopik operativ aralashuv o’tkazilgan. Bemorlarning yoshi 3 – 15 yoshni tashkil qildi. 39 ta aralash jarohatli bemorlarning retrospektiv tahlili o’tkazildi.
Natijalar. Bemorlar shok holatining Algover klassifikasiyasiga ko’ra 4 ta guruhga bo’lindi. Xirurgik kirish bemorning og’irlik darajasi va Algover shok indeksining tahliliga asoslangan holda amalga oshirildi, va VTS orqali davolanish imkoniyati ob’ektiv bashorat qilindi. BOLLARDA ko’krak qafasi jarohatlaridan keyingi yashab qolish holati BBTRISS shkalasi orqali shok darajasi va bemordagi jarohatlar korrelyatsiyasi asosida baholandi.
Xulosa. Bolalarda ko’krak qafasining aralash jarohatlarida Algover shok indeksidan foydalanish VTS amaliyotini o’tkazish imkoniyatini aniq bashoratlashga yordam beradi va BBTRISS bo‘yicha tirik qolish ehtimolini bemordagi shok darajasi va jarohat holati bilan bevosita bog‘laydi.
Mualliflar haqida
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