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Authors
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Lyapina D.A., Omarova K.K., Vakulenko I.V., Zbruyeva Y.V. |
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Abasov A.R., Markin D.A. |
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Abramyan A.A., Silkin A.V., Klyukin A.A. |
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Fedotova E.I., Korovina M.V. |
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Poiminova P.Y., Protsenko A.S. |
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Borodkina L.V., Mekhantyeva L.E., Ilyichev V.P. |
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Zemlyankina I.N., Medvedev A.D. |
Evakuatsiya obozhzhennykh i yeye svyaz' s rezul'tatami lecheniya. Sozdaniye shkaly otsenki tyazhesti sostoyaniya postradavshikh s termicheskoy travmoy Annotatsiya Aktual'nost'. Evakuatsiya obozhzhennykh v spetsializirovannyye lechebnyye uchrezhdeniya, takzhe kak i printsipy organizatsii meditsinskoy pomoshchi yavlyayutsya vazhnymi voprosami, voznikayushchimi v khode vooruzhennykh konfliktov i chrezvychaynykh situatsiy. V nastoyashcheye vremya sozdany i ispol'zuyutsya mnozhestvo shkal, s pomoshch'yu kotorykh vozmozhno dat' boleye tochnuyu otsenku tyazhesti povrezhdeniy i sostoyaniya ranenykh, kotoryye s uspekhom primenyayutsya na etapakh meditsinskoy evakuatsii (TS, TRISS, AIS, ISS, shkaly VPKH, shkaly ostroy travmy i dr.). Odnako dlya obozhzhennykh ne sushchestvuyet obshcheprinyatoy shkaly, blagodarya kotoroy mozhno ne tol'ko otsenit' tyazhest' travmy i sostoyaniye obozhzhennykh, no i prinyat' resheniye otnositel'no ikh diagnostiki i lecheniya. Tsel'. Otsenka vliyaniya srokov transportirovki na etap spetsializirovannoy pomoshchi, khirurgicheskoy taktiki i vozrasta postradavshikh s tyazhelymi ozhogami na rezul'taty lecheniya, a takzhe provedeniye analiza vozmozhnosti sozdaniya novykh otsenochnykh shkal obozhzhennykh dlya opredeleniya u nikh tyazhesti sostoyaniya. Metody. Provedeno statisticheski-analiticheskoye issledovaniye 606 patsiyentov kliniki termicheskikh porazheniy Voyenno-meditsinskoy akademii, postupivshikh v period s 2003 po 2018 goda. S pomoshch'yu paketa prikladnykh programm Microsoft Excel s ispol'zovaniyem opisatel'noy statistiki byli vydeleny vazhnyye parametry, kotoryye mogut vliyat' na tyazhest' sostoyaniya porazhennykh. Rezul'taty. Ustanovleno, chto letal'nost' snizhena v gruppe operirovannykh obozhzhennykh, dostavlennykh v kliniku za pervyye 3 chasa posle travmy. Optimal'noy taktikoy lecheniya takikh patsiyentov yavlyayetsya vypolneniye nekrektomii na 3-i sutki posle polucheniya ozhoga. Vyyavleno, chto u patsiyentov starshe 70 let otmechalos' naibol'sheye chislo letal'nykh iskhodov. Prinyato resheniye dlya boleye tochnoy otsenki sostoyaniya porazhennykh na razlichnykh etapakh evakuatsii sozdat' shkalu tyazhesti sostoyaniya, kotoraya budet vklyuchat' v sebya krome osnovnykh parametrov: ploshchadi, glubiny ozhoga i vozrasta patsiyenta, dopolnitel'nyye kriterii takiye kak, sroki transportirovki postradavshikh i vypolneniya khirurgicheskogo lecheniya, dlitel'nost' nakhozhdeniya v otdelenii reanimatsii i intensivnoy terapii. Obshchaya summa ballov, vychislennykh s pomoshch'yu dannoy shkaly, budet ravna kolichestvennoy kharakteristike tyazhesti sostoyaniya obozhzhennogo. Zaklyucheniye. Takoy vazhnyy etap razvitiya predstavleniya ob otsenke tyazhesti sostoyaniya patsiyentov s termicheskoy travmoy budet sposobstvovat' boleye effektivnomu i tochnomu vychisleniyu veroyatnosti letal'nogo iskhoda obozhzhennykh, a takzhe prognozirovaniyu rezul'tatov lecheniya. Klyuchevyye slova: termicheskaya travma; tyazheloobozhzhennyye; evakuatsiya; tyazhest' sostoyaniya; spetsializirovannaya pomoshch'; otsenochnaya shkala
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Результаты перевода
Evacuation of the burned and its relationship with the results of treatment. Creation of a scale for assessing the severity of the condition of victims with thermal injury
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Gudkova M.S. |
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