DISASTER MEDICINE No. 4•2021
Use of Innovative Technologies in the Treatment of Patients with Severe Concomitant Injury with Liver Damage: Clinical Observation
Voynovsky A.E.1,2, Semenenko I.A.1,2, Kuptsov A.S.2
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1 City Clinical Hospital named after S.S. Yudin of the Moscow Department of Health, Moscow, Russian Federation
2 I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
USE OF INNOVATIVE TECHNOLOGIES IN THE TREATMENT OF PATIENTS WITH SEVERE CONCOMITANT INJURY WITH LIVER DAMAGE: CLINICAL OBSERVATION
A.E. Voynovsky, I.A. Semenenko, A.S. Kuptsov
Abstract. Liver injury is one of the most common abdominal injuries in patients with severe trauma.
A total of 2988 patients with concomitant injuries were treated at the city clinical hospital named after S.S. Yudin during the period from 2010 to 2020, of which 371 (12.4%) were found to have closed abdominal trauma. Damage to the liver was revealed in 124 (33.4%) patients with closed abdominal trauma. The number of discharged patients was 78 (62,9%), lethal outcome — 46 patients (37,1%). The severity of injury according to ISS was (38,1±11,3) points. The development of innovative multimodal approaches, such as endovascular trauma and bleeding management (EVTM), as well as damage control tactics have significantly increased the likelihood of nonoperative treatment for individual patients.
A clinical observation is presented that allows to evaluate the effectiveness of innovative technologies in the treatment of patients with severe concomitant trauma with liver damage.
Keywords: closed abdominal trauma, innovative technologies, liver injury, non-surgical treatment of victims with severe concomitant trauma, X-ray endovascular treatment
For citation: Voynovskiy A.E., Novikov G.A., Semenenko I.A., Kuptsov A.S. Use of Innovative Technologies in the Treatment of Patients with Severe Concomitant Injury with Liver Damage: Clinical Observation Meditsina katastrof = Disaster Medicine. 2021;4:61-63 (In Russ.). https://doi.org/10.33266/2070-1004-2021-4-61-63
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The material was received 27.09.21; the article after peer review procedure 23.11.21; the Editorial Board accepted the article for publication 13.12.21