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199406, Санкт-Петербург, ул.Гаванская, д. 49, корп.2

ISSN 1999-6314

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«
Vol. 15, Art. 38 (pp. 471-484)    |    2014       
»

Features of diagnostics of craniocerebral and extracranial damages at polytrauma
1Shchedrenok V.V., 1Anikeev N.V., 1Simonova I.A., 1,2Potemkina E.G., 1Zuev I.V., 1Moguchaya O.V., 1,2Sebelev K.I., 1Krasnoshlyk P.V.

Russian Research Neurosurgical Institute. prof. AL Polenov Russian Ministry of Health
Severo West State Medical University named after II Mechnikov



Brief summary

Research objective – specification of features of diagnostics of craniocerebral and extracranial damages at multiple and combined trauma. Material and methods. The retrospective analysis of diagnostics of 1946 victims with a polytrauma made. Specific weight of various beam researches differed. The CT-research including inspection of a brain, facial skeleton, cervical and chest departments of a backbone, bodies of a thorax and pelvic bones, was undertaken at 23.3% of victims. At 18.1% cases, the X-ray that caused by the considerable specific weight of fractures of bones of extremities was used. Results. Owing to features of a clinical course of a polytrauma for the first 3 hours after hospitalization, a number of damages did not diagnose for 19.2% of victims: fractures of bones of the arch and basis of a skull, pelvic and backbone, multiple fractures of edges, shovels, bruise of a lung and hemotorax. The average time spent for research of one patient at performance of CT of the head and cervical department of a backbone, averages 14.5±3.5 min., at this CT possesses high informational content. Process of CT-research of the head, cervical, chest and lumbar departments, and pelvic takes on the average 30.5±3.5 min. Conclusions. Clinical feature of a polytrauma is development of syndromes of mutual burdening and overlapping, and various cerebral and somatic pseudosyndromes that significantly complicates diagnosis statement. Feature of a choice of beam methods at a polytrauma is expediency of use of CT owing to a combination small on time of duration of research (on the average no more than 30.5±3.5 min.) and its high informational content (sensitivity – 95.2%, specificity – 95.8%, accuracy – 95.6%), and at suspicion on an injury of extremities – X-ray.


Key words

craniocerebral trauma, extracranial damages, polytrauma, algorithm of diagnostics.





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