• I.A. Mormol Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», Poltava, Ukraine
  • O.A. Borzykh Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», Poltava, Ukraine
  • I.P. Kaidashev Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», Poltava, Ukraine
Keywords: polytrauma, hemopneumothorax, treatment tactics


Today, the issue of timely diagnosis and treatment of polytrauma remains highly relevant. Polytrauma is a severe pathological process that involves simultaneous onset and development of several pathological conditions and is characterized by underlying disorders of all types of metabolism, changes on the part of central nervous system, cardiovascular and respiratory tract. The given clinical case proves us expediency of developing the personified approach to management of patients with polytrauma, using the individual algorithms.


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1. Kavalersky G.M., Garkavy A.V. 7.1 Klassyfykatsyya polytravm. Osobennosty klynycheskoho techenyya y dyahnostyky [7.1 Classification of polytrauma. Features of clinical course and diagnostics] // Medytsyna chrezvychaynykh sytuatsyy. Khyrurhyya katastrof [Medicine of emergency situations. Surgery of disasters]. – Moscow: Medical information agency, 2015. – 376 p.
2. Fil A.Yu., Fil Yu.Ya. Suchasna taktyka nadannya dopomohy pry skeletniy travmi postrazhdalym iz politravmoyu (ohlyad literatury) [Modern tactics of assistance in case of skeletal trauma suffered from polytrauma (review of literature)]//Trauma. – 2014. – N 1. – P. 125-128
3. Guriev S., O. Tanasienko, Suchasna klasyfikatsiya infektsiynykh uskladnenʹ u postrazhdalykh iz politravmoyu [Modern classification of infectious complications in patients suffering from polytrauma]//Trauma. – 2013. – T. 14, No. 6. – P. 21-23.
4. Pathophysiology of polytrauma — Keel, M. & Trentz O. — Injury, Volume 36, Issue 6. – P. 691-709
5. Ahmad T., Ahmed S.W., Soomro N.H., Sheikh K.A. Thoracoscopic evacuation of retained posttraumatic hemothorax//Journal of the College of Physicians and Surgeons Pakistan. - 2013. - Vol. 23 (3). - Р. 234-236.
6. de Rezende-Neto J.B., PastoreNeto M., Hirano E.S., Rizoli S., Nascimento B. Jr., Fraga G.P. Management of retained hemothoraces after chest tube thoracostomy for trauma//Rev Col Bras Cir. - 2012. - Vol. 39 (4). - Р. 344-349.
7. DuBose J., Inaba K., Demetriades D., Scalea T.M., et al. Management of post-traumatic retained hemothorax: a prospective, observational, multicenter AAST study//Trauma Acute Care Surg. - 2012. - Vol. 2 (1). - Р. 11-22.
8. Hsing-LinLin, Wen-Yen Huang, ChyanYang, Shih-MinChou et al. How early should VATS be performed for retained hemothorax in blunt chest trauma?//Injury. - 2014. Vol. 45 (9). - Р. 13591364.
9. Karmy-Jones R., Holevar M., Sullivan R.J., Fleisig A., Jurkovich G.J. Residual hemothorax after chest tube placement correlates with increased risk of empyema following traumatic injury//Can Respir J. - 2008. - Vol. 15 (5) -. Р. 255-258.
10. Meyer D.M., Jessen M.E., Wait M.A., Estrera A.S. Early evacuation of traumatic retained hemothoraces using thoracoscopy: a prospective, randomized trial//Ann Thorac Surg. - 1997. - Vol. 64(5). - Р. 1396-1400.
11. Morales Uribe C.H., Villegas Lanau M.I., Petro Sánchez R.D. Best timing for thoracoscopic evacuation of retained post-traumatic hemothorax//SurgEndosc. - 2008. - Vol. 22 (1). - Рр. 91-95.
12. Navsaria RH., Vogel R.J., Nicol A.J. Thoracoscopic evacuation of retained posttraumatic hemothorax. Ann ThoracSurg. - 2004. - Vol. 78 (1). - Р. 282-285.
13. Nathan T.M., Oliver L.G., Bryan R.C., Jose J.D. et al. Рта^^ Management Guidelines for Management of Hemothorax and Occult Pneumothorax//The Journal of Trauma Injury, Infection, and Critical Care. - 2011. Vol. 70 (2). - Р. 510-518.
14. Smith J.W., Franklin G.A., Harbrecht B.G., Richardson J.D. Early VATS for blunt chest trauma: a management technique underutilized by acute care surgeons//Trauma. - 2011. - Vol. 71 (1). - Р. 105-107.
15. Abakumov, A.M. Travmaticheskiy Svernuvshiysya Gemotoraks (diagnostika I lechenie) Dis. ... Kand. Med.nauk [Traumatic Hemothorax Coagulated Dissertation of the Candidate of Medical Sciences]. – Moscow, 2003. 168 p
16. Dergunova, S.A. Optimizatsiya Khirurgicheskoy Taktiki Pri Razlichnykh Vidakh Gemotoraksa Dis. ... Kand. Med.nauk [Optimization of Surgical Tactics for Different Kinds of Hemothorax Dissertation of the Candidate of Medical Sciences]. – Samara, 2005. 130 p.
How to Cite
Mormol, I., Borzykh, O., & Kaidashev, I. (2018). FEATURES OF THERAPEUTIC SUPPORT FOR PATIENTS WITH POLYTRAUMA. The Medical and Ecological Problems, 22(1-2), 28-32. https://doi.org/10.31718/mep.2018.22.1-2.06