Khirurgiia
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Treatment results in 87 patients (mean age 30.1 years) with traumatic injuries of major abdominal vessels were analyzed. 73 patients had stab-incised wounds, 9--blunt trauma, 5--gunshot wounds. Hemodynamics of the majority of hospitalized patients (66 from 87) was unstable. Inferior cava vein injury was revealed in 29 patients, aorta injury--in 21, iliac vessels injury--in 22, visceral vessels injury--in 15. ⋯ Vascular operations (side suture--in 49 patients, circular suture--in 11, vein ligation--in 5, prosthesis--in 3) were performed in 17 (25%) patients by general surgeons, in the rest (75%)--by vascular surgeons. General mortality (including hospitalized but non-operated patients, and patients who died during the operation and in postoperative period) was 46%. It is necessary to teach vascular surgery to general surgeons for high-quality and timely care in patients with abdominal trauma complicated by major vessels injuries.
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Electrographic method has permitted to detect the position of aorta catheter's end in 5 patients. This method is most available for intensive care departments of city hospital, because it doesn't require special equipment and additional staff, is easy to master, may be directly used during catheterisation, is safe for patients and staff and is cost effective.
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Biography Historical Article
[Wounding in a duel of famous Russian poet A.S.Pushkin].