Actual problems of diagnosis and treatment of thoracoabdominal injuries

The problem of injury in many countries is very acute. Trauma kills more people under the age of 45 than any other cause. Trauma is now the second leading cause of death. By 2020, worldwide, the number of deaths from injuries will increase from 5.8 to 8.4 million cases per year. Thoracoabdominal trauma is a particular difficulty in diagnosis and treatment. The main pathogenetic factors of any injury, such as acute blood loss, hypoxia, immune distress syndrome, break down physiological adaptive mechanisms, triggering a traumatic illness. Timely adequate correction of acute blood loss and relief of the phenomenon of hemodilutionary coagulopathy lead to the need to use donor components. However, the results of massive transfusion protocols and coagulation factor correction are mixed. The thresholds for transfusion of blood components, depending on morbid pathology, have not been definitively determined.

Autorentext

S.N.Styazhkina, Doctor of Medical Sciences, Professor of the Department of Faculty Surgery of the ISMA, Honored Doctor of the UR, Laureate of the State Prize of the UR in the field of science, Honored Worker of the Higher School of the Russian Federation; author of more than 950 scientific works, including 11 monographs, 12 patents, 50 teaching aids, 15 collections of scientific and practical works; supervisor of 28 theses.