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"Институт токсикологии Федерального медико-биологического агентства"
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Институт теоретической и экспериментальной биофизики Российской академии наук.

ООО "ИЦ КОМКОН".




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199406, Санкт-Петербург, ул.Гаванская, д. 49, корп.2

ISSN 1999-6314

Российская поисковая система
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«
Vol. 15, Art. 38 (pp. 471-484)    |    2014       
»

Features of diagnostics of craniocerebral and extracranial damages at polytrauma
1Shchedrenok V.V., 1Anikeev N.V., 1Simonova I.A., 1,2Potemkina E.G., 1Zuev I.V., 1Moguchaya O.V., 1,2Sebelev K.I., 1Krasnoshlyk P.V.

Russian Research Neurosurgical Institute. prof. AL Polenov Russian Ministry of Health
Severo West State Medical University named after II Mechnikov



Brief summary

Research objective – specification of features of diagnostics of craniocerebral and extracranial damages at multiple and combined trauma. Material and methods. The retrospective analysis of diagnostics of 1946 victims with a polytrauma made. Specific weight of various beam researches differed. The CT-research including inspection of a brain, facial skeleton, cervical and chest departments of a backbone, bodies of a thorax and pelvic bones, was undertaken at 23.3% of victims. At 18.1% cases, the X-ray that caused by the considerable specific weight of fractures of bones of extremities was used. Results. Owing to features of a clinical course of a polytrauma for the first 3 hours after hospitalization, a number of damages did not diagnose for 19.2% of victims: fractures of bones of the arch and basis of a skull, pelvic and backbone, multiple fractures of edges, shovels, bruise of a lung and hemotorax. The average time spent for research of one patient at performance of CT of the head and cervical department of a backbone, averages 14.5±3.5 min., at this CT possesses high informational content. Process of CT-research of the head, cervical, chest and lumbar departments, and pelvic takes on the average 30.5±3.5 min. Conclusions. Clinical feature of a polytrauma is development of syndromes of mutual burdening and overlapping, and various cerebral and somatic pseudosyndromes that significantly complicates diagnosis statement. Feature of a choice of beam methods at a polytrauma is expediency of use of CT owing to a combination small on time of duration of research (on the average no more than 30.5±3.5 min.) and its high informational content (sensitivity – 95.2%, specificity – 95.8%, accuracy – 95.6%), and at suspicion on an injury of extremities – X-ray.


Key words

craniocerebral trauma, extracranial damages, polytrauma, algorithm of diagnostics.





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Reference list

1. Agadjanyan, V.V. Politravma. Neotlojnaya pomosh i transportirovka / V.V. Agadjanyan, I.M. Ystyanceva, A.A. Pronskih i soavt. – Novosibirsk: Nayka, 2008. – 320 s.


2. Ankin, L.N. Politravma (organizacionnie, takticheskie i metodologicheskie problemi) / L.N. Ankin. – M: MEDpress-inform, 2004. – 176 s.


3. Bagnenko, S.F. Obshie principi otbora ychrejdenii zdravoohraneniya, na baze kotorih vozmojno i celesoobrazno formirovanie travmocentrov razlichnogo yrovnya. / S.F. Bagnenko, V.V. Stojarov, A.G. Miroshnichenko i soavt. // Skoraya medicinskaya pomosh. – 2009. – № 4. – S. 64–71.


4. Borovkov, V.N. Tyajelaya sochetannaya travma v stryktyre dorojno-transportnogo travmatizma. Snijenie smertnosti na gospitalnom etape / V.N. Borovkov, G.V. Sorokin, N.V. Borovkov // Materiali II Moskovskogo mejdynarodnogo kongressa: Povrejdeniya pri dorojno-transportnih proisshestviyah i ih posledstviya: nereshennie voprosi, oshibki i oslojneniya. – M., 2011. – S. 15–16.


5. Gymanenko, E.K. Politravma: travmaticheskaya bolezn, disfynkciya immynnoi sistemi, sovremennaya strategiya lecheniya / E.K. Gymanenko, V.K. Kozlov. – M.: GEOTAR-Media, 2008. – 608 s.


6. Gymanenko, E.K. Voenno-polevaya hiryrgiya lokalnih voin i vooryjennih konfliktov / E.K. Gymanenko, I.M. Samohvalov. – M.: GEOTAR-Media, 2011. – 672 s.


7. Dorovskih, G.N. Magnitno-rezonansnaya tomografiya v diagnostike ostroi cherepno-mozgovoi travmi / G.N. Dorovskih, T.A. Ahadov, V.V. Semchenko. – Omsk: Nayka, 2007. – 140 s.


8. Kalinichev, A.G. Tyajelaya kranio-torakalnaya travma. Kliniko-organizacionnie aspekti dogospitalnogo i rannego gospitalnogo etapov / A.G. Kalinichev, V.V. Mamontov, V.V. Shedrenok. – Omsk: IP Zagyrskii S.B., 2011. – 188 s.


9. Kornienko V.N. Diagnosticheskaya neiroradiologiya / V.N. Kornienko, I.N. Pronin. – M.: Vidar, 2009. – Tom III. – 462 s.


10. Lebedev, V.V. Komputernaya tomografiya v neotlojnoi neirohiryrgii / V.V. Lebedev, V.V. Krilov, T.P. Tissen, V.M. Halchevskii. – M.: Medicina, 2005. – 360 s.


11. Neirohiryrgiya. Evropeiskoe rykovodstvo: v 2 tomah / H. Lymenta [i dr.]; per. s angl. – M.: BINOM. Laboratoriya znanii, 2013. T. 1. – 392 s.


12. Ostmann, I.V. Osnovi lychevoi diagnostiki / I.V. Ostmann, K.D. Krossin. – M.: Medicinskaya literatyra, 2012. – 368 s.


13. Prokop, M. Spiralnaya i mnogosloinaya komputernaya tomografiya / M. Prokop, M. Galanski. – M.: MEDpress-inform; 2009. – 414 s.


14. Skaletta, T.A. Neotlojnaya travmatologiya / T.A. Skaletta, D.D. Shaider. – M.: Medicinskoe informacionnoe agentstvo, 2006. – 744 s.


15. Sokolov, V.A. Mnojestvennie i sochetannie travmi / V.A. Sokolov. – M.: GEOTAR-Media; 2006. 512 s.


16. Ternovoi, S.K. Osnovi lychevoi diagnostiki i terapii. Nacionalnoe rykovodstvo / S.K. Ternovoi. – M.: GEOTAR-Media, 2012. – 992 s.


17. Trofimova, T.N. Neiroradiologiya / T.N. Trofimova. – SPb.: SPbMAPO, 2005. – 288 s.


18. Tryfanov, G.E. Lychevaya diagnostika travm golovi i pozvonochnika / G.E. Tryfanov, T.E. Rameshvili. – SPb.: ELBI-SPb., 2005. – 192 s.


19. Hosten, N. Komputernaya tomografiya golovi i pozvonochnika / N. Hosten, T. Libig; per. s nem. – MEDpress-inform, 2013. – 576 s.


20. Cibylyak, G.N. Obshaya hiryrgiya povrejdenii / G.N. Cibylyak. – SPb.: Gippokrat, 2005. – 648 s.


21. Chmelev, V.S. Organizaciya ekstrennoi neirohiryrgicheskoi pomoshi bolnim s tyajeloi sochetannoi cherepno-mozgovoi travmoi / V.S. Chmelev, I.A. Kachkov // Neirohiryrgiya. – 2007. – № 2. – S. 62–67.


22. Shedrenok, V.V. Kachestvo medicinskoi pomoshi pri sochetannoi pozvonochno-spinnomozgovoi travme v Sankt-Peterbyrge / V.V. Shedrenok, I.V. Yakovenko, O.V. Mogychaya, S.V. Orlov, N.V. Anikeev // Hiryrgiya pozvonochnika. – 2007. – № 3. – S. 74–76.


23. Shedrenok, V.V. Sochetannaya cherepno-mozgovaya travma. Osobennosti kliniki i organizacionnih tehnologii / V.V. Shedrenok, E.K. Gymanenko, O.V. Mogychaya, I.V. Yakovenko, A.G. Kalinichev, A.D. Oleinik. – SPb.: RNHI im. prof. A.L. Polenova, 2007. – 328 s.


24. Shedrenok, V.V. Smertnost naseleniya Sankt-Peterbyrga ot sochetannoi i mnojestvennoi cherepno-mozgovoi travmi / V.V. Shedrenok, O.V. Mogychaya, I.V. Yakovenko, N.V. Anikeev, G.A. Grigoryan, U.V. Popov, I.A. Sovakov, V.A. Fedorov. A.V. Filippov, N.A. Yanina // Rossiiskii biomedicinskii jyrnal medline.ru – 2007. – tom 8, statya 19. – S. 184–191.


25. Shedrenok, V.V. Organizaciya medicinskoi pomoshi postradavshim s sochetannoi cherepno-mozgovoi travmoi v gorodah s razlichnoi chislennostu naseleniya i pyti ee sovershenstvovaniya / V.V. Shedrenok, E.K. Gymanenko, O.V. Mogychaya, I.V. Yakovenko, N.V. Anikeev, A.G. Kalinichev, U.V. Popov, I.A. Sovakov, A.V. Fedorov, E.V. Hachatyrova-Tavrizyan, N.A. Yanina // Vestnik travmatologii i ortopedii im. N.N. Priorova, 2008. – № 1. – S. 3–7.


26. Shedrenok, V.V. Kliniko-organizacionnie aspekti sochetannoi cherepno-mozgovoi travmi / V.V. Shedrenok, I.V. Yakovenko, O.V. Mogychaya // pod redakciei prof. V.V. Shedrenka. – SPb.: RNHI im. prof. A.L. Polenova, 2011. – 437 s.


27. Shedrenok, V.V. Kliniko-lychevaya diagnostika izolirovannoi i sochetannoi cherepno-mozgovoi travmi / V.V. Shedrenok, G.N. Dorovskih, O.V. Mogychaya, N.V. Anikeev, K.I. Sebelev, I.V. Yakovenko // pod redakciei prof. V.V. Shedrenka. – SPb.: RNHI im. prof. A.L. Polenova, 2012. – 448 s.



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