Damage to the organs of the abdomen and extremities
Traumatology / / August 12, 2017
limb lesions observed in 79.5% of patients with injuries of abdominal organs.The lower limbs are damaged 3.5 times more often than the upper.On the severity of injuries in victims of this group show accompanying every second serious injury of the pelvis or the chest, and every third - simultaneous damage to these areas of the body.Despite the severity of the injury, these patients underwent immediate surgery, essentially playing the role of a decisive factor in the success of resuscitation.High operational risk any interference with the victim in a state of severe shock severely limits the surgical activity.Only life-threatening bleeding entitles the surgeon to perform the operation on the so-called emergencies.
treatment of closed fractures of extremities (at 81.4%) is carried out mainly conservative (skeletal traction, casts).During emergency surgery is required to clarify the diagnosis of limb injuries, performed a closed reposition (after additional fracture anesthesia) and immobilization with plas
- basic signs with injuries abdominal organ injury
- First aid and treatment of abdominal
- struggle with pain in injuries
- skeletal traction
- Multiple fractures of the tibia
- Multiple fractures ankle
- struggle with acute blood loss in trauma
- tourniquet technique
- Transosseous osteosynthesis external fixation
- combined treatment of injuries
- treatment of multiple rib fractures
Typically, intra-articular fractures using simple distraction device in combinationwith plaster splint.All kinds of osteosynthesis set aside for 2-3 weeks.Surgical treatment of open polifraktur and amputation of limbs in the separation and crushing (at 18.6%) is performed simultaneously with the emergency surgery for internal injuries.To fix the fragments in open fractures using external fixation devices mainly.