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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/14760
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dc.contributor.authorPaladii, Irina-
dc.contributor.authorKusturov, Vladimir-
dc.contributor.authorKusturova, Anna-
dc.contributor.authorGhidirim, Gheorghe-
dc.date.accessioned2021-01-06T12:03:13Z-
dc.date.available2021-01-06T12:03:13Z-
dc.date.issued2020-
dc.identifier.citationPALADII, Irina, KUSTUROV, Vladimir, KUSTUROVA, Anna, GHIDIRIM, Gheorghe. Polytrauma management = Management în politraumă. In: Congresul consacrat aniversării a 75-a de la fondarea USMF „Nicolae Testemițanu”, 21-23 octombrie 2020: Abstract book. Chișinău: [s. n.], 2020, p. 432.en_US
dc.identifier.urihttps://stiinta.usmf.md/sites/default/files/inline-files/Abstract%20Book.%20CULEGERE%20DE%20REZUMATE%20.pdf-
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/14760-
dc.description.abstractBackground. The perfection of the medical conduct of polytrauma patients is the vast task of modern surgery. Objective of the study. Rationalization of the management of polytrauma patients. Material and Methods. Study (n=26) of patients with polytrauma. Men 17(65,38%). Women 9(34.61%), 3 pregnant women. The average age 38,26±15,03 years. Patients investigated and treated at the same time. It was diagnosed: pelvic fractures (n=26); trauma: cranial (n=26), thoracic (n=20), abdominal with intraabdominal hemorrhage (n=18). Results. The treatment strategy depended on the severity of the trauma. Polytraumatized (n=18) with pelvic fractures type A, B; ISS=21,52 ± 0,11. Performed thoracocentesis (n=16), laparotomy, stabilization of the pelvic ring. Polytraumatized (n=8) with fracture of the pelvis type C, trauma associated to the thorax and abdomen, unstable hemodynamics, shock IIIgr., ISS=47,82±0,15. Treatment: stopping internal bleeding, restoring lung function, stabilizing the pelvic ring with external fixation. Results of surgical treatment according to the S.A.Majeed scale (1989): at 25 satisfactory, including pregnant women, 1(3,84%) patient died. Conclusion. The management of the polytraumatized was determined by the actions of a specialized team. Primary measures included drainage of the pleural cavity, laparotomy and stabilization of the pelvic ring. The final replacement of the pelvic bones was performed after urgent operations. Introducere. Sistematizarea conduitei medicale a politraumatizaţilor este sarcina vastă a chirurgiei moderne. Scopul lucrării. Raţionalizarea managementului pacienţilor politraumatizaţi. Material și Metode. A fost efectuat studiul (n=26) pacienţilor cu politraumatism. Bărbaţi 17(65,38%). Femei 9(34,61%) – 3 gravide. Vârsta medie 38,26±15,03 ani. S-a constatat: fracturi pelviene (n=26); traumatism: cranian (n=26), toracic (n=20); traumatism abdominal cu hemoragie intraabdominală (n=18). Pacienţii au fost investigaţi şi trataţi prin metode contemporane. Rezultate. Strategia tratamentului a depins de severitatea traumatismului. Politraumatizaţi (n=18) cu fracturi ale bazinului tip A, B, ISS=21,52±0,11. Efectuat toracocenteza (n=16), laparotomia, stabilizarea inelului pelvin. Politraumatizaţi (n=8) cu fractura bazinului tip C, traumatism asociat toracelui şi abdomenului, hemodinamica instabilă, şocul III gr., ISS=47,82±0,15. Tratament: stoparea hemoragiilor interne, restabilirea funcției pulmonare, stabilizarea inelului pelvin cu dispozitiv de fixare externă. Rezultatele tratamentului chirurgical conform scării S.A.Majeed (1989): la 25 de pacienți a fost satisfăcător, inclusiv la femeile gravide; 1(3,84%) pacient decedat. Concluzii. Managementul politraumatizaţilor a fost determinat de acțiunile consecvente în asociere cu medicii unei echipe specializate. Primul ajutor a inclus drenarea cavității pleurale, laparotomie și stabilizarea inelului pelvian. Repoziția finală a oaselor pelviene a fost realizată după operațiile urgente.en_US
dc.publisherUniversitatea de Stat de Medicină şi Farmacie "Nicolae Testemiţanu" din Republica Moldovaen_US
dc.subjectpolytraumaen_US
dc.subjectmanagementen_US
dc.titlePolytrauma managementen_US
dc.title.alternativeManagement în politraumăen_US
dc.typeOtheren_US
Appears in Collections:Congresul consacrat aniversării a 75-a de la fondarea USMF „Nicolae Testemițanu”, 21-23 octombrie 2020: Abstract book

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