Some Aspects of quality of Rendering of Specialized Help to Patients with Combined Craniocerebral Trauma in Multifield Hospital
Abstract
The treatment of patients with combined craniocerebral trauma (CCT) is associated with clinical difficulties, because its symptoms are very different from other combined trauma. Nowadays the standards in treatment of such patients are not developed fully. Earlier, in 1970-80 years both domestic and foreign researchers have proposed the different scales and schemes for the estimation of such injuries. The State Hospital No 1 named by Pirogov N.I. in Moscow is considered as a multiple trauma centre with powerful diagnostic and clinical base. The article deals with the analysis of disease histories of 400 patients with combined craniocerebral trauma which were treated in this hospital for last five years. The most of the patients was brought to the hospital for the first days after trauma. The quality of pre-hospital and clinical aid was assessed; the mistakes of Reception Department were analyzed. Based on the results of analysis the system of complex inspection of patients with high-energy trauma was embedded in the State Hospital No 1. The tactics of treatment of long bone fractures was performed depending on the severity of head injury. The computer tomography (CT) with the so-called program «combined injury» was embedded. It means the complex approach: patients, who received high-energy and heavy criminal injury, were examined by CT of the brain, chest and pelvis at the same time. It revealed that 13.7% of patients had fractures of the ribs, 8.3% of cases - fractures of the pelvis, 22.8% of cases - signs of brain injury. For the last 10 years the clinic actively applies the principle of one-stage surgical treatment by the participation of multiple surgical teams. Preliminary results of this study let us to conclude that using of this modern approach and sufficient technical equipment allow considering the head injury as not a contraindication to the active choice of tactics of treatment of fractures of long tubular bones.
About the Author
M. V. Lyadova
Russian Medical University named by Pirogov N.I
Russian Federation
Russian Federation
Lyadova Maria Vasilievna, PhD (Candidate of Medical Sciences), doctor traumatologist-orthopedist of the medical ambulance, the state hospital No 1 named by Pirogov N.I., assistant of the traumatological and orthopedically surgery’s Department of Russian Medical University named by Pirogov N.I
117 049, Moscow, Leninskiy Prospect, 10
References
1. Vyalkov A.I. Quality management in health care / A.I. Vyalkov // Problemi upravlenia zdravoohraneniem. – 2003. – № 1. – P.5– 12.
2. Grigoriev M.G. Combined traumatic brain injury / M.G. Grigoriev, N.A. Zvonkov, L.B. Likhterman, A.P. Fraerman // Under . Ed. Prof. M.G.Grigorev. – Gorkii, Volga– Vyatka publ. house, 1977. – 240 p.
3. Lebedev V.V. Traumatic brain injury: clinical guidelines / V.V. Lebedev, V.V. Krylov, V.A. Sokolov, N.V. Lebedev; Ed. A.N. Konovalov, L.B. Lihterman, A.A. Potapov . – M., 2001. – V.2. – p. 523 -559.
4. Pushkov A.A. Combined injury. View of the practical surgeon / A.A. Pushkov. – Rostov-on Don: Izd Phoenix, 1998. – 320 p.
5. Razumni N.V. Medico– economic approaches to the formation of the standard of medical aid to victims with injuries, accompanied by a shock: author. dis. ...cand. med. scie. / N.V.Razumny. – SPb., 2011.
6. Fedotkina S.A. Injury and poisoning among the causes of death of young people in Russia / S.A.Fedotkina // Zdravoohranenie Rossiiskoy Federazii. – 2011. – № 2. – p. 20-24.
7. Shchedrenok V.V. Clinical and organizational aspects of combined craniocerebral injury / V.V. Schedrenok, I.V. Yakovenko, O.V. Moguchaya. – SPb: Izd FSI «RNHI named after prof. A.L.Polenov Ross. Med. Technologies», 2010. – 435 p
Review
For citations:
Lyadova M.V. Some Aspects of quality of Rendering of Specialized Help to Patients with Combined Craniocerebral Trauma in Multifield Hospital. Yakut Medical Journal. 2014;(2):107-110.
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