Abstract

Based on the results of the analysis of 322 medical records of adult patients (over 18 years of age) with burns admitted for inpatient treatment in a state of intoxication (alcohol and / or drugs), and 1377 in a sober state, it was found that in the aggregate of diagnostic and therapeutic procedures in patients analyzed groups, X-ray examinations prevail (21.5–23.8%) and primary surgical treatment of wounds (20.2–37.5%). Injured in a state of intoxication, catheterization of the central veins (3.9 times) and bladder (3.6 times), tracheal intubation (3.9 times), bronchoscopy (4.7 times), fibrogastroduodenoscopy (7.2 times), tracheotomy (in 9.3), necrectomy and dermoplasty (in 1.7 times), and the multiplicity of these interventions was greater due to more extensive and deep lesions than among those injured in a sober state. Primary surgical treatment of a smaller number of those hospitalized in a state of intoxication is objective due to the more frequent occurrence of an unfavorable outcome in this contingent of victims on the first day of hospitalization. Between the frequency of necrectomy and dermoplasty, there was a direct correlation of a high degree (rxy = 0.99), indicating a high contingency of these medical interventions.

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