Abstract
Summary. The data presented in the article convincingly testify to the formation of the clinical problem of intensive therapy for thoracic trauma in patients with polytrauma, which has not yet been fully resolved to date. Further studies of the clinical features and the choice of diagnostic criteria are required taking into account the injuries received in concomitant chest trauma, further study of the content of surfactant protein D (SP-D) and ceruloplasmin in blood plasma in patients with thoracic injury with polytrauma in the early post-traumatic period, which would create algorithm of treatment and diagnostic tactics to improve the conduct of intensive care. To reduce the level of possible complications and their correction, it is necessary to develop complex clinical, instrumental and laboratory differential diagnostic criteria by identifying biochemical markers, as well as their pathogenetic substantiation when improving tactics and increasing the effectiveness of intensive therapy in patients of this category.
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