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Vol. 27, Art. 11 (pp. 271-289) | 2026
Features of diseases of internal organs in participants in a modern armed conflict at the stage of the central military medical organization
Yazenok A.V., Goverdovsky Yu.B., Agafonov P.V., Chekhovskih Yu.S., Gaiduk S.V.
Federal State Budgetary Educational Institution of Higher Education "Military Medical Academy named after S.M. Kirov" Ministry of Defense of the Russian Federation
Brief summary
One of the characteristics of modern armed conflict is the significant increase in the average age of contract soldiers in the ranks of privates and sergeants. In order to reasonably plan hospitalizations and properly allocate resources to ensure high efficiency in organizing and providing specialized, including high-tech, medical care, it is necessary to clearly understand the specific features of the structure of internal organ diseases in personnel, undergoing treatment in military medical institutions of central subordination. The aim of the study was to identify the characteristics of the development and structure of internal organ diseases in military personnel participating in a modern armed conflict at the stage of providing specialized medical care in military medical organizations of central subordination. Material and methods. An analysis of the electronic database of the combat pathology registry was conducted based on the medical records of participants in modern armed conflicts who were treated at the S.M. Kirov Military Medical Academy. The statistical analysis included hospitalizations of sick and wounded patients with existing visceral pathology. All cases of internal organ diseases were categorized into groups based on their association with traumatic injury (wound), the profile of the affected organ systems, and the leading nosological entities. Results. It was noted that the most common visceral pathologies requiring specialized, including high-tech, medical care are ischemic heart disease, severe pneumonia, chronic obstructive pulmonary disease, and peptic ulcer disease. In the structure of internal organ diseases in the wounded, cardiovascular pathology accounts for about 41% of the total number of cases, respiratory pathology was less common (24.6%), as well as blood system pathology (11.5%). The most common visceral complications following injury include anemia, hospital-acquired pneumonia, cardiac contusion, and pulmonary contusion. Conclusion. In the context of a modern military conflict, at the stage of the central military medical organization, chronic non-infectious diseases of the cardiovascular, respiratory and digestive systems come to the forefront in the structure of diseases of internal organs. Key words military conflict; wounded; therapeutic care; stage of providing specialized medical care (The article in PDF format. For preview need Adobe Acrobat Reader)  Open article in new window
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