COMPLEX PROGRAM OF DIAGNOSTICS AND TREATMENT OF POLYTRAUMATIZED PATIENTS WITH II-III DEGREES OBESITY

Abstract

The aim: Elaboration of the complex program of diagnostics and treatment of the polytraumatized overweight patients. Materials and methods: Clinical material was composed of 64 patients with the combined body trauma who suffered from II-III grade obesity. Results: Main principles of rendering the aid to the polytraumatized overweight patients included the pathophysiological and topographic features of the group. The obtainedstudy results confirmed the credible difference of the traumatic disease progress in the patients with the normal weight and overweight patients which was the basis of our differential complex treatment program. The treatment tactics also had certain characteristics connected with the obesity. The development of RDS syndrome is a typical stage of the traumatic disease during the blunt thoracal trauma in case of obesity. The programmed and urgent relaparotomy, as a method of the stage treatment in the present group of patients, is the integral component of the blunt abdominal injury in case of obesity. Conclusions: The study results proved that our complex program of diagnostics and treatment of the polytraumatized patients shall be basic for the patients with II-III grade obesity.