The treatment of fractures during radiation injuries
Traumatology / / August 12, 2017
Increased risk of general and local infectious complications, a tendency to necrotic processes, high bleeding, reduction in the regenerative capacity of tissues significantly affect the surgical tactics.Treatment of bone fractures is mainly carried out by conservative methods.Prioritized plaster bandages, and the immobilization periods are extended by 1.5-2 times.Operative treatment should be applied in full only in the recovery period of radiation sickness.
With the help of modern techniques chreskostnogo osteosynthesis with external fixation in recovery period almost all defects can be resolved internally defective treatment polifraktur consciously committed during the height of radiation sickness.
When combined radiation injuries primary surgical treatment of wounds should be performed in the first 6-8 hours (early debridement).Operations carried out in the normal operating room, the surgical team should work in a double set of sterile surgical clothes, two pairs of rubber gloves, in multilayer mas
- Radiation sickness
- Fractures with radiation injuries.First Aid
- first aid for injuries complicated burns
- Injuries at home and at
- production Fighting pain with injuries
- Bilateral dislocations of hip
- tourniquet technique
- Transosseous osteosynthesis external fixation
- struggle with acute blood loss in trauma
Indications for operation and equipment of primary surgical treatment of wounds are subject to the general principles.Features of treatment are more radical excision of necrotic tissue, very careful hemostasis, possibly deaf wound primary closure, as should endeavor to heal the wounds of radiation sickness.Necessarily infiltrate surrounding wound tissue with solutions of antibiotics in high doses.Dramatically expand the indications for amputation when crushed and crushing fractures, with the stump form necessarily known within intact tissue.Leaving open the wounds, especially infected, in the period of radiation sickness may contribute to death.All operations
waste (bandages, removed tissue, washings, etc. D.) Collected in the receivers, which are buried in the ground to a depth of 0.5 m.
The complex treatment includes massive antibiotic therapy, transfusion of blood and svezhetsitratnoybone marrow (directly from the donor), vitamin therapy, administration of protein drugs.