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  • POLYTRAUMA-

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    . . .

    ,2006

    ,

    .

    42-00762

    222014.:

    :

    SCOPUSUlrichsInternationalPeriodicalsDirectory

    :652509,

    ,,

    .,7,9

    E-mail:[email protected]@gnkc.kuzbass.net

    WEB: http://mine-med.ru/polytrauma:+7(38456)2-38-88

    +7(38456)9-55-34

    : 36675

    42358

    54714

    :

    ,652509,,

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    .,.52/2 :

    650066,.,.,22

    www.mednauki.ru-..

    ..

    ... ..

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    :20.03.2017

    : 30.03.2017

    :1000.

    -,

    650004,.,.,35-

    1/2017

    ISSN:1819-1495 E-ISSN:2541-867X

    ,

    ,

    POLYTRAUMAScientifically-practical reviewed journal

  • 2 10

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  • POLYTRAUMAPOLYTRAUMAScientifically-practical reviewed journal

    ThejournalisregisteredintheOfficeofFederalServiceforControlofCommunication,

    InformationTechnologiesandMassCommunicationsin

    Kemerovoregion.ThecertificateofregistrationPI#TU42-00762,

    December,22,2014

    Institutor:CharityfundoftheFederalScientificClinicalCenter

    oftheMinersHealthProtection

    Indexation:RussianScienceCitationIndex

    (RSCI),SCOPUS,

    UlrichsInternationalPeriodicalsDirectory

    Editorial staffs address:7thdistrict,9,

    Leninsk-Kuznetsky,Kemerovoregion,

    RussianFederation,652509

    E-mail:[email protected]@gnkc.kuzbass.net

    WEB: http://mine-med.ru/polytrauma

    Phone:+7(38456)2-38-88 +7(38456)9-55-34

    Publishers address:TheCharityFundofClinical

    CenterofMinersHealthProtection,

    LesnoyGorodokSt.,52/2,Leninsk-Kuznetsky,Kemerovo

    region,Russia,652509

    Subscription:OpenAccessforallusers

    onwebsite Printversionisavailablevia

    Rospechatservicewithindex36675,RussianPressservice

    withindex42358,RussianPostservicewithindex54714

    Prepress:MedicineandEnlightenment

    PublishingHouseOktyabrskyprospect,22,

    Kemerovo,650066,www.mednauki.ru

    Editor-in-Chief KovalenkoA.A.

    Editor ChernykhN.S.

    Imposition planning KovalenkoI.A.

    Executive editorLazurinaA.V.TranslatingShavlovD.A.

    Passedforprinting20.03.2017Date of publishing:

    30.03.2017 Circulation:1000exemplars

    Contractprice Printedintheletterpressplant

    closedcorporationAsia-print,Sibirskayast.,35A,Kemerovo,

    650004

    1/2017

    AccordingtothedecisionbytheMinistryofEducationandScienceoftheRussianFederationthejournalPolytrauma hasbeenincludedintoTheListofreviewedscientificpublications,whichshouldpublishmainscientificresultsofdissertations

    forcandidateofsciencesandPhDinmedicine

    Editorial staff

    Chief editor MD,PhD,professor AgadzhanyanV.V. Leninsk-KuznetskyDeputy chief editors PhD,professor UstyantsevaI.M. Leninsk-Kuznetsky MD,PhD,professor SadovoyM.A. Novosibirsk

    Science editors CandidateofMedicalScience AgalaryanA.Kh. Leninsk-KuznetskyMD,PhD AfanasyevL.M. Leninsk-Kuznetsky MD,PhD IvanovP.A. Sochi MD,PhD KorobushkinG.V. MoscowMD,PhD KravtsovS.A. Leninsk-KuznetskyMD,PhD MilyukovA.Yu. Leninsk-KuznetskyMD,PhD NovokshonovA.V. Leninsk-Kuznetsky MD,PhD PronskikhA.A. Leninsk-KuznetskyMD,PhD KhokhlovaO.I. Leninsk-Kuznetsky MD,PhD ShatalinA.V. Leninsk-Kuznetsky MD,PhD,professor ZavrazhnovA.A. Moscow

    Editorial board MD,PhD,professor,academicianofRAS(Moscow) MironovS.P. MoscowMD,PhD,professor,correspondingmemberofRAS MorozV.V. MoscowMD,PhD,professor,correspondingmemberofRAS KhubutiyaA.Sh. MoscowMD,PhD,professor,academicianofRAS GoncharovS.F. MoscowMD,PhD,professor AganesovA.G. MoscowMD,PhD,professor ShevchenkoS.B. MoscowMD,PhD,professor,academicianofRAS DavydovE.A. SaintPetersburgMD,PhD,professor TikhilovR.M. SaintPetersburgMD,PhD,professor,correspondingmemberofRAS BaindurashviliA.G. SaintPetersburgMD,PhD,professor SamokhvalovI.M. SaintPetersburgMD,PhD,professor StupakV.V.. NovosibirskMD,PhD,professor,academicianofRAS KozlovA.V. NovosibirskMD,PhD,professor FomichevN.G. NovosibirskMD,PhD,professor,academicianofRAS AftanasL.I. NovosibirskMD,PhD,professor,correspondingmemberofRAS EfremovA.V. NovosibirskMD,PhD,professor,academicianofRAS NovitskyV.V. TomskMD,PhD,professor,academicianofRAS BarbarashL.S. KemerovoMD,PhD,professor ChurlyaevYu.A. NovokuznetskMD,PhD,professor ZoloevG.K. NovokuznetskMD,PhD,professor BondarenkoA.V. BarnaulMD,PhD,professor,correspondingmemberofRAS GrigoryevE.G. IrkutskMD,PhD,professor ApartsinK.A. IrkutskMD,PhD,professor SorokovikovV.A. Irkutsk MD,PhD,professor NorkinI.A. SaratovMD,PhD,professor,academicianofRAS KotelnikovG.P. SamaraMD,PhD,professor,correspondingmemberofRAS ShevtsovV.I. KurganMD,PhD,professor KlyuchevskyV.V. YaroslavlMD,PhD,professor ReznikL.B. Omsk MD,PhD,professor,academicianofAAMS AyvazyanV.P. Erevan,ArmeniaMD BlyakherA. New-York,USAMD WidmannR.F. New-York,USAMD LorichD.G. New-York,USAMD HelfetD.L. New-York,USAMD WolfsonN. FranchCamp,USAMD HindsR.M. New-York,USAMD,PhD HarariA. NetherlandsMD,PhD LernerA. Zefat,IsraelMD,FACS PapeH.C. Aachen,Germany

    The reproduction of the published materials without written consent of the editorial staff is not admitted. The author materials may no reflect the point of view of the editorial staff. The liability for the informations reliability in the advertising matters is imposed to the advertising spenders.

    Polytrauma,2006

    ISSN:1819-1495 E-ISSN:2541-867X

  • 4 10

    [ CONTENTS ]

    6 SECONDARYCAREORGANIZATION

    THEACTUALISSUESOFASSOCIATEDINJURIES

    (FROMTHEMATERIALSOFPOLYTRAUMAJOURNAL)

    InozemtsevE.O.,GrigoryevE.G.,ApartsinK.A.

    12 ORIGINALRESEARCHES

    CRANIOCEREBRALDISPROPORTION

    INCHILDRENWITHTRAUMATICBRAININJURY

    LarkinV.I.,KovalR.P.,NovokshonovA.V.,DolzhenkoD.A.

    20 NEWMEDICALTECHNOLOGIES

    DEVELOPMENTOFHIPENDOPROSTHESIS

    FORTREATINGPATIENTSWITHFEMORAL

    NECKPSEUDARTHROSIS

    VarfolomeevD.I.,SamodayV.G.

    26 ANESTHESIOLOGYANDCRITICALCAREMEDICINE

    PREVENTIONOFFATGLOBULEMIA

    INTOTALHIPJOINTREPLACEMENT

    LebedM.L.,BocharovS,N.,GolubI.E.,

    KirpichenkoM.G.,KarmanovaM.M.

    32 INTERACTIONSBETWEENCENTRAL

    VENOUSPRESSUREANDCOLLAPSIBILITYINDEX

    OFINTERNALJUGULARVEIN

    INPATIENTSWITHTRAUMAANDBLOODLOSS

    NigmatullinaA.R.,KasatkinA.A.,UrakovA.L.

    37 CLINICALASPECTSOFTRAUMATOLOGY

    ANDORTHOPEDICS

    STABILIZATIONOFTHECHESTSTRUCTURE

    INFRAGMENTARYRIBFRACTURES

    ASAKEYFACTOROFRESTORATIONOFEXTERNAL

    BREATHINGFUNCTIONINPOLYTRAUMA

    MakhutovV.N.,IlyichevaE.A.,AldaranovG.Yu.,

    OvakimyanG.A.,GrigoryevE.G.,BoykoT.N.

    42 FUNCTIONAL,INSTRUMENTALANDLABORATORYDIAGNOSTICS

    PATHOLOGYOFVERTEBRALARTERY

    INTRAUMAOFTHECERVICALSPINE

    ShchedrenokV.V.,ZakhmatovaT.V.,MoguchayaO.V.

    49 STATUSOFCELLULARIMMUNITYINANEMIA

    OFCHRONICDISEASESOFDIFFERENTGENESIS

    DygayA.M.,SurzhikovaG.S.,Klochkova-AbelyantsS.A..

    56 CASEHISTORY

    ACASEOFSUCCESSFULTREATMENTOFAPATIENT

    WHOHADTWOOCCASIONSOFSEVEREPOLYTRAUMA

    BondarenkoA.V.,PlotnikovI.A.,GuseinovR.G.

    61 LEFTHANDREPLANTATION

    MinasovB.Sh.,ValeevM.M.,BiktashevaE.M.,YakupovR.R.,

    NikitinV.V.,MavlyutovT.R..

    65 REVIEWS

    USEOFBIOABSORBABLEIMPLANTSFORHALLUXVALGUSSURGERY

    AvilovS.M.,GorodnichenkoA.I.

    72 THEMODERNTREATMENTTECHNOLOGIESFORSEVERE

    ACETABULARBONEDEFECTS:WHICHPROBLEMSARESOLVED

    BYCUSTOMIMPLANTS?

    KovalenkoA.N.,ShubnyakovI.I.,BilykS.S.,TikhilovR.M.

    82 REPORTSOFDISSERTATIONSANDPUBLICATIONS

    90 BIBLIOGRAPHYOFPOLYTRAUMAPROBLEMS

    92 SCIENCEFORUMANNONCE

    96 INFORMATIONFORAUTHORS

    100 INFORMATIONFORADVERTISERS

  • 1 [] 2017 5

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    Inozemtsev E.O. Grigoryev E.G. Apartsin K.A.Irkutsk Scientific Center of Surgery and Traumatology,

    Irkutsk State Medical University,

    Irkutsk, Russia

    ()THE ACTUAL ISSUES OF ASSOCIATED INJURIES (FROM THE MATERIALS OF POLYTRAUMA JOURNAL)

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    Objective to analyse the materials of the publication of Polytrauma

    journaldedicatedtothemainproblemsofarrangementofmedicalcarefor

    patients.

    Materials and methods. The study presents the review of the articles

    publishedinPolytraumajournalfor10years.

    The importance of the problem of treatment of patients with severe

    associatedinjuriesisaccentuated.Themainattentionhasbeengiventothe

    main problems of treatment such as transportation, estimation of severity

    of patients condition, damage control concept and the concept of trauma

    centers.

    Results.Themainwayfordecreasingmortality inthisgroupofpatients is

    adherencetotheclearorganizationalanddiagnosticalgorithm,andtreatment

    onthebasisofthelevel1traumacenterforspecializedmedicalaid.

    Conclusion. Arrangement of medical care for patients with polytrauma

    isoneof theactual sectionsof themodernmedicinewithnecessityof the

    multidisciplinaryapproach.Theproblemrequiressolvingseveralkey issues:

    the problem of transportation, estimation of injury severity and, the main

    thing,where and how to treat the patientwith associated injury andwho

    shouldperformtreatment.

    Key words: polytrauma; associated injury; severity of condition; severity

    of injuries; estimation of injury severity; damage control; trauma center;

    arrangementofmedicalcare.

    09.12.2016.

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  • 1 [] 2017 7

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    , Na+, K+. - - - [5, 11].

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    - - ( ), - ( ). - , - , , .., -, - . / - [2, 17].

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    - - . - , . - . , , -, (ISS), (AIS), -

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    - - - , Damage control ( , -). - . , - , , , , - , - . - Damage control - - . - Damage control - . , -

  • 1 [] 2017 9

    6 - 11

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    / REFERENCES:

    1. Agadzhanyan VV, Kravtsov SA. Polytrauma, the ways of

    development (terminology). Polytrauma. 2015; 2: 6-14. Russian

    (..,..,(-

    )//.2015.2..6-14.)

    2. Agadzhanyan VV, Kravtsov SA, Zheleznyakova IA, Kornev AN,

    PachginIV.Integrationofcriteriaofpolytraumaseveritydegrees

    into the international classification of diseases. Polytrauma.

    2014; 1: 6-15. Russian ( .., .., -

    .., .., .. -

    // . 2014. 1. C.

    6-15.)

    3. Agadzhanyan VV. Organizational problems of delivery of care for

    patientswithpolytrauma.Polytrauma.2012;1:5-10.Russian(-

    .. -

    //.2012.1..5-10.)

    4. Agadzhanyan VV, Agalaryan AKh. Scientific organizational

    technologiesofmedicalaidrealizationforvictimswithpolytrauma

    with dominant injuries to internal organs. Polytrauma.2012; 3:

    5-10.Russian (....--

    -

  • 10 10

    -

    //.2012.3.C.5-10.)

    5. Agadzhanyan VV, Shatalin AV, Kravtsov SA, Skopintsev DA.

    Estimation criteria of state severity in patients with polytrauma

    during interhospital transportation. Polytrauma. 2011; 1: 5-11.

    Russian ( .., .., .., -

    ..-

    //.

    2011.1.C.5-11.)

    6. AgadzhanyanVV.Thefactorsinfluencingonlethalityinpatientswith

    polytrauma. Polytrauma. 2010; 3: 5-7. Russian ( ..

    ,

    //.2010.3.C.5-7.)

    7. Agadzhanyan VV, Agalaryan AKh. Damage control laparotomy in

    combination with damage control reanimation in patients with

    abdominal injuries in polytrauma. Polytrauma. 2011; 2: 5-9.

    Russian(..,..Damagecontrol-

    damagecontrol

    //-

    .2011.2.C.5-9.)

    8. Agadzhanyan VV, Pronskikh AA. To the question about tactics of

    managementofpatientswithpolytrauma.Invitationtodiscussion.

    Polytrauma.2010;1:5-8.Russian(..,..

    .-

    //.2010.1.C.5-8.)

    9. Agadzhanyan VV, Pronskikh AA. To the question about tactics of

    managementof patientswithpolytrauma. Invitation todiscussion.

    Polytrauma.2010;2:5-9.Russian(..

    //.2010.2.C.5-9.)

    10. Agadzhanyan VV. Polytrauma: problems and practicalities.

    Polytrauma.2006;1:5-8.Russian(..:

    //.2006.1.

    C.5-8.)

    11. AgadzhanyanVV,ShatalinAV,KravtsovSA.Organisational-tactical

    aspectsofinterhospitaltransportationofpatientswithpolytrauma

    in critical condition. Polytrauma. 2006; 1: 23-27. Russian (-

    ..,..,..--

    ,//-

    .2006.1.C.23-27.)

    12. AgadzhanyanVV,KravtsovSA,ShatalinAV,LevchenkoTV.Hospital

    mortality in polytrauma and main directions for its decrease.

    Polytrauma.2015;1:6-15.Russian(..,..,

    ..,..-

    //.

    2015.1.C.6-15.)

    13. Agalaryan AKh. Surgical treatment andmortality in patients with

    abdominal injuries in polytrauma. Polytrauma. 2014; 4: 24-31.

    Russian(..

    //.2014.4.C.24-31.)

    14. AnikeevNV,ShchedrenokVV,Zuev IV,PotemkinaEG,SebelevKI,

    Moguchaya OV. Experience of use of tactics damage control in

    craniocerebral and spinal trauma. Polytrauma. 2013; 1: 12-19.

    Russian ( .., .., ..,

    .., .., ..

    damagecontrol - --

    //.2013.1.C.12-19.)

    15. DubrovVE,BlazhenkoAN,KhaninMYu,GorbunovIA,BlazhenkoAA,

    KobritsovGP,etal.Realizationofdamagecontrolconceptinacute

    period of polytrauma. Polytrauma. 2012; 2: 68-73. Russian (-

    .., .., .., ., -

    .., .. . -

    (damagecontrol)

    //.2012.2.C.68-73.)

    16. KoltovichA,PfeiferR,IvchenkoD,AlmahmoudKh,PapeHC.Damage

    controlsurgicalapproachincivilianandmilitarysettings.Polytrauma.

    2014;4:6-16.Russian(.,.,.,-

    .,..damagecontrol-

    //.2014.4.C.6-16.)

    17. Novozhilov AV, Kosenkova DV, Zaytsev AP, Apartsin KA. MOST:

    monitoring of the traumatism in combined mechanical injuries.

    Polytrauma. 2007; 1: 9-15. Russian ( .., -

    .., .., ..: -

    // -

    .2007.1.C.9-15.)

    18. Plekhanov AN, Nomokonov IA, Shagdurov VA. Organizational

    and tactical aspects of rendering assistance for patients with

    concomitant injury in current conditions (surgery of concomitant

    injury). Report 2. Polytrauma. 2008; 1: 59-63. Russian (-

    .. .. ..

    ( -

    ).2//.2008.1.C.59-63.)

    19. SokolovVA,ByalikEI,ShchetkinVA,SharipovIA,KlopovLG.The

    experience with arrangement of activity of the associated injury

    department. Polytrauma. 2006; 3: 9-14. Russian ( ..,

    ..,..,..,..-

    //.

    2006.3.C.9-14.)

    20. Skopintsev DA, Kravtsov SA, Shatalin AV. New approaches to

    using kashtan anti-shock suit during interhospital transportation

    ofpatientswithpolytrauma.Polytrauma.2014;2:21-25.Russian

    ( .., .., ..

    -

    //.2014.2.C.21-25.)

    21. Shatalin AV, Kravtsov SA, Interhospital and prehospital

    transportationofcriticallyillpatients.Polytrauma.2009.1:18-22.

    Russian (..,..-

    -

    //.2009.1.C.18-22.)

    22. ShatalinAV,AgadzhanyanVV,KravtsovSA,SkopintsevDA.Medical

    transportation forpatientswithpolytrauma.Polytrauma.2008;1:

    24-31.Russian(......-

    ..-

    //.2008.1.C.24-31.)

    :

    .., ,

    ,.,.

    Information about authors:

    Inozemtsev E.O.,postgraduate,IrkutskScientificCenterofSurgery

    andTraumatology,Irkutsk,Russia.

  • 1 [] 2017 11

    6 - 11

    ..,-.,,

    ,

    , -

    ,.,.

    .., ..., , ,

    ,-

    ,-

    ,.,.

    :

    ..,.,1,,,663003

    E-mail:[email protected]

    Grigoryev E.G., correspondingmember of RussianAcademy of Sci-

    ence, scientific supervisor, IrkutskScientificCenterof Surgeryand

    Traumatology,chiefofhospitalsurgerychair,IrkutskStateMedicalUni-

    versity,Irkutsk,Russia.

    Apartsin K.A.,MD,PhD,professor,chiefresearcher,IrkutskScien-

    tificCenterofSurgeryandTraumatology,professorofhospitalsurgery

    chair,IrkutskStateMedicalUniversity,Irkutsk,Russia.

    Address for correspondence:

    InozemtsevE.O.,BortsovRevolyutsiiSt.,1,Irkutsk,Russia,663003

    E-mail:[email protected]

  • 12 10

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    3, . , ,

    ,

    . -, ,

    , . ,

    Larkin V.I. Koval R.P. Larkin I.I. Novokshonov A.V. Dolzhenko D.A.

    Omsk State Medical University,

    City Pediatric Clinical Hospital No.3, Omsk, Russia,

    Regional Clinical Center of Miners Health Protection, Leninsk-Kuznetsky, Russia,

    Regional Clinical Hospital, Barnaul, Russia

    -CRANIOCEREBRAL DISPROPORTION IN CHILDREN WITH TRAUMATIC BRAIN INJURY

    -

    --

    .

    .-

    -182

    -()

    315.

    . -

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    .--2,51,3%,-

    139,1%,10,74%.

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