TY - JOUR

T1 - Врачебная тактика, подходы и эффективность комплексного лечения пострадавшего с политравмой, полученной при падении с высоты

AU - Maday, D Yu

AU - Kozlov, V K

AU - Ivanov, A G

AU - Besaev, G M

AU - Madai, O D

N1 - Мадай Д.Ю., Козлов В.К., Иванов А.Г., Бесаев Г.М., Мадай О.Д. Врачебная тактика, подходы и эффективность комплексного лечения пострадавшего с политравмой, полученной при падении с высоты. Хирургия. Журнал им. Н.И. Пирогова. 2021;(8):69‑75. Maday DYu, Kozlov VK, Ivanov AG, Besaev GM, Maday OD. Medical tactics, approaches and complex treatment effectiveness in case of multiple trauma caused by a fall from a height. Pirogov Russian Journal of Surgery = Khirurgiya. Zurnal im. N.I. Pirogova. 2021;(8):69‑75. (In Russ.) https://doi.org/10.17116/hirurgia202108169

PY - 2021

Y1 - 2021

N2 - OBJECTIVE: To demonstrate the approaches' implementation of specialized multidisciplinary and high-tech medical care in multistage complex treatment of patient with multiple trauma including combined severe trauma of the maxillofacial region such as minimally invasive surgical tactics with early and delayed osteosynthesis (e.g. selection of optimal surgical tactics within the periodization of traumatic disease concept). Moreover, the implementation of rational advanced intensive pathogenesis drug therapy with the prevention of infectious complications in cast of severe injuries.MATERIAL AND METHODS: The tactics, approaches and results of multistage complex specialized treatment of patient K., 56 years old who has got severe concomitant injuries to various areas of the body and extremities (including multiple maxillofacial trauma) after falling from a height are presented.CONCLUSION: Rational surgical tactics and the timely initiation (immediately after admission of the victim to 1st level trauma center) of pathogenesis intensive therapy with modern drugs and antibiotics contributed to the exclusion of infectious complications in the third period (the period of maximum likelihood of complications) of traumatic illness. Comprehensive treatment of a victim with multiple trauma based on the principles of specialized, multidisciplinary and high-tech medical care is able to provide a favorable clinical outcome - the recovery with the restoration of the damaged anatomical structures functionality and the absence of cosmetic defects.

AB - OBJECTIVE: To demonstrate the approaches' implementation of specialized multidisciplinary and high-tech medical care in multistage complex treatment of patient with multiple trauma including combined severe trauma of the maxillofacial region such as minimally invasive surgical tactics with early and delayed osteosynthesis (e.g. selection of optimal surgical tactics within the periodization of traumatic disease concept). Moreover, the implementation of rational advanced intensive pathogenesis drug therapy with the prevention of infectious complications in cast of severe injuries.MATERIAL AND METHODS: The tactics, approaches and results of multistage complex specialized treatment of patient K., 56 years old who has got severe concomitant injuries to various areas of the body and extremities (including multiple maxillofacial trauma) after falling from a height are presented.CONCLUSION: Rational surgical tactics and the timely initiation (immediately after admission of the victim to 1st level trauma center) of pathogenesis intensive therapy with modern drugs and antibiotics contributed to the exclusion of infectious complications in the third period (the period of maximum likelihood of complications) of traumatic illness. Comprehensive treatment of a victim with multiple trauma based on the principles of specialized, multidisciplinary and high-tech medical care is able to provide a favorable clinical outcome - the recovery with the restoration of the damaged anatomical structures functionality and the absence of cosmetic defects.

KW - Accidental Falls

KW - Fracture Fixation, Internal/adverse effects

KW - Humans

KW - Middle Aged

KW - Minimally Invasive Surgical Procedures

KW - Multiple Trauma/therapy

KW - Treatment Outcome

UR - http://www.scopus.com/inward/record.url?scp=85114075347&partnerID=8YFLogxK

U2 - 10.17116/hirurgia202108169

DO - 10.17116/hirurgia202108169

M3 - статья

C2 - 34363448

AN - SCOPUS:85114075347

SP - 69

EP - 75

JO - ХИРУРГИЯ. ЖУРНАЛ ИМ. Н.И. ПИРОГОВА

JF - ХИРУРГИЯ. ЖУРНАЛ ИМ. Н.И. ПИРОГОВА

SN - 0023-1207

IS - 8

ER -