Применение инновационных технологий при лечении пострадавших с тяжелой сочетанной травмой с повреждением печени. Клиническое наблюдение

A.E Voynovsky,A.S Kuptsov,I.A Semenenko

doi:10.33266/2070-1004-2021-4-61-63

Abstract

Liver injury is one of the most common abdominal injuries in patients with severe trauma. A total of 2988 patients with concomitant injuries were treated at the city clinical hospital named after S.S. Yudin during the period from 2010 to 2020, of which 371 (12.4%) were found to have closed abdominal trauma. Damage to the liver was revealed in 124 (33.4%) patients with closed abdominal trauma. The number of discharged patients was 78 (62,9%), lethal outcome — 46 patients (37,1%). The severity of injury according to ISS was (38,1±11,3) points. The development of innovative multimodal approaches, such as endovascular trauma and bleeding management (EVTM), as well as damage control tactics have significantly increased the likelihood of nonoperative treatment for individual patients. A clinical observation is presented that allows to evaluate the effectiveness of innovative technologies in the treatment of patients with severe concomitant trauma with liver damage.

Highlights

Применение новых инновационных мультимодальных подходов, таких, как рентгенэндоваскулярное лечение травм и кровотечений (EVTM-endovascular trauma management), позволяет значительно повысить возможность безоперационного лечения у отдельных пациентов [2]
A total of 2988 patients with concomitant injuries were treated at the city clinical hospital named after S.S
The development of innovative multimodal approaches, such as endovascular trauma and bleeding management (EVTM), as well as damage control tactics have significantly increased the likelihood of nonoperative treatment for individual patients

Summary

Introduction

Применение новых инновационных мультимодальных подходов, таких, как рентгенэндоваскулярное лечение травм и кровотечений (EVTM-endovascular trauma management), позволяет значительно повысить возможность безоперационного лечения (non-operative management – NOM) у отдельных пациентов [2]. Abstract.Liver injury is one of the most common abdominal injuries in patients with severe trauma. Damage to the liver was revealed in 124 (33.4%) patients with closed abdominal trauma.

Results

Conclusion