Khirurgiia
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Treatment results of 364 patients with multifocal lesions of brachiocephalic and lower limb arteries are analyzed. Indications for surgical treatment were based on priority principle. ⋯ One-stage surgical interventions are associated with high lethality and should be performed with strong indications only. Conservative treatment cannot be regarded as alternative to surgical procedures.
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[Surgical policy and future of endo-surgery of closed abdominal injuries in severe combined trauma].
Results of examination and treatment of 646 patients with severe combined trauma and closed abdominal trauma are analyzed. Laparocentesis and laparoscopy were used for diagnosis. ⋯ Laparoscopy did not reveal injuries that required additional surgical procedures in 56% patients, in the rest 44% patients surgical methods of treatment were used including laparotomy (29.2%) and endo-surgical procedures (14.8%). Algorithm of diagnosis and treatment is described.
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Comparative Study
[Efficacy of spiral computed tomography in diagnosis of thorax injuries due to combined trauma].
Spiral computed tomography of the thorax was used in 112 patients with mechanical trauma. High efficacy of this method in diagnosis of fracture of posterior and lateral costal parts (69.6%), pneumo- and hydrothorax (100%), traumatic infiltration and gas-filled cysts of the lung (100%), pulmonary hematoma (90%) was demonstrated. ⋯ Indications for this method were formulated. The results of the study recommend spiral computed tomography as a priority diagnostic method in combined trauma of the chest.