Abstract
Objective: to improve treatment results in miners, by studying the specific features of the course of their critical conditions caused by severe traumatic injuries, and to develop differentiated intensive therapeutic regimens for detected abnormalities. Subjects and methods. A total of 1107 subjects were examined during the study. Central hemodynamic function was explored in 371 healthy miners with various lengths of underground mining; a control group included 30 healthy volunteers unexposed to occupational hazards. Examinations were made in 386 severe brain injury victims, including 218 victims with no length of underground work and 115 injured miners with an underground work length of more than 5 years. A control group comprised 53 apparently healthy donors. One hundred and twenty-two miners with severe thermal injury were examined. A control group consisted of 39 apparently healthy volunteers. One hundred and six victims with acute respiratory distress syndrome in the presence of severe concomitant injury were examined under mechanical ventilation. Sixty-three injured miners formed a study group; a comparison group included 43 subjects with no length of underground mining. Conclusion . Upon longer exposure to occupational hazards, the prenosological changes occur in the miners' organs and systems, which display a regular phasic pattern, fit in the picture of general adjustment syndrome, and determine the specific features of critical conditions. The peculiarities of the critical conditions caused by severe traumatic injuries in miners are the early development and high frequency of complications, the more severe course and late recovery of the body's lost functions, unlike the victims unexposed to occupational hazards. Differentiated intensive therapy for critical conditions in miners with severe traumatic injuries makes it possible to improve treatment results and to reduce death rates.
Highlights
Цель исследования — улучшение результатов лечения шахтеров на основе изучения особенностей течения у них критических состояний, обусловленных тяжелыми травматическими повреждениями и разработки дифференци рованной интенсивной терапии выявленных нарушений
Objective: to improve treatment results in miners, by studying the specific features of the course of their critical conditions caused by severe traumatic injuries, and to develop differentiated intensive therapeutic regimens for detected abnormalities
Central hemodynamic function was explored in 371 healthy miners with various lengths of underground mining; a control group included 30 healthy volunteers unexposed to occupational hazards
Summary
Цель исследования — улучшение результатов лечения шахтеров на основе изучения особенностей течения у них критических состояний, обусловленных тяжелыми травматическими повреждениями и разработки дифференци рованной интенсивной терапии выявленных нарушений. Особенностями течения критических состо яний, обусловленных тяжелыми травматическими повреждениями у шахтеров, являются раннее развитие и боль шая частота осложнений, более тяжелое течение и поздние сроки восстановления утраченных функций организма в отличие от пострадавших, не работающих во вредных условиях производства. Целью проводимых исследований является улуч шение результатов лечения шахтеров на основе изуче ния особенностей течения у них критических состоя ний, обусловленных тяжелыми травматическими повреждениями и разработки дифференцированной интенсивной терапии выявленных нарушений. 2. Определить особенности течения критических состояний, обусловленных тяжелыми травматическими повреждениями и ожогами, у шахтеров с подземным ста жем работ 10 и более лет путем проведения сравнитель ного анализа с аналогичными травмами у пострадавших, не работающих во вредных условиях труда. На основе проведенных исследований обосно вать и внедрить в практическое здравоохранение ком плекс дифференцированной интенсивной терапии вы явленных нарушений
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
