Pathology of lungs by wounded in the armed conflicts in Northern Caucasus
Sosiukin, A.E.; Boiarintsev, V.V.; Budko, A.A.; Gavrilin, S.V.; Gaĭduk, S.V.
Voenno-Meditsinskii Zhurnal 329(11): 31-35; 96
2008
ISSN/ISBN: 0026-9050 PMID: 19186522 Document Number: 621619
According to 7000 patient histories, wounded in armed conflicts in Northern Caucasus, for the last years, is marked a big part of wounds of mild (45.3%) and medium (31.5%) severity. Heavy and extremely heavy wounds marked conformably in 20.8 and 2.4 percents. An acute respiratory distress-syndrome is marked by 32 wounded with heavy and extremely heavy wounds, including 10--with penetrating wound of brainpan, 9--penetrating wound of bosom and tense hemopneumothorax, 11--penetrating wound of abdomen (with deflection of hollow and parenchymal organs), 2--penetrating wound of lower limbs (with firing breakup of long bones and deflections of great vessel), attended by blood loss and shock. Pneumonia was found during first 3 days after the wound by 47%, on 4-7 day--31%, during second week--13%, latter--9%. In 93% of cases pneumonia was marked in combination with traumatic shock. Radiological examining of radiological plays a conclusive account in diagnostics, and according to meanings--computerized tomography. Estimation of function of exterior breathing is also important.