Open AccessDIAGNOSTIC AND TREATMENT OF COMBINED DAMAGES OF LARGE BONES OF THE LIMBS AND ORGANS OF THE ABDOMINAL CAVITY IN CHILDREN
Author(s) -
Y. M. Yahyaev,
M. I. Izrailov,
I. A. Aliyev,
М. А. Магомедов,
А. М. Алискандиев
Publication year - 2019
Publication title -
rossijskij pediatričeskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2413-2918
pISSN - 1560-9561
DOI - 10.18821/1560-9561-2019-22-1-33-37
Subject(s) - medicine , abdominal cavity , damage control , abdominal trauma , surgery , spleen , blunt
The experience of the management of 141 victim cases aged from 1 year to 15 years with fractures of the large bones of the extremities associated with injuries of the abdominal organs is presented. The cause of injury in 56% of cases was a traffic accident with boys to prevalent to suffer. In 141 victims, 184 injuries of the abdominal organs were diagnosed with predominant damage in isolated injuries of the spleen (40%), in case of multiple injuries, a combination of damage to the spleen and liver (41.9%). In 47.6% of patients, fractures of the lower limbs were observed, fractures of the bones of the upper extremities were found in 41.8%, with predominant damage to the bones of the lower extremities with open fractures (65%). The use of the developed algorithm for diagnosis and treatment, providing for a differentiated approach to diagnosis and treatment at different periods of combined trauma, allowed obtaining more beneficial results in the main group (97.4%) compared with the control group (93.9%) with an economic effect of 28%.