Tag Archives: traumatism

STUDY OF INJURIES STRUCTURE AND IMPROVEMENT OF PREVENTATIVE ACTIVITY OF FAMILY PHYSICIANS IN THE CITY HEALTH CENTER №1 C. DUSHANBE

AshurovZ.Ya., Mirzoeva Z.A., Davlyatova D.D.

STUDY OF INJURIES STRUCTURE AND IMPROVEMENT OF PREVENTATIVE ACTIVITY OF FAMILY PHYSICIANS IN THE CITY HEALTH CENTER №1 C. DUSHANBE

Department of Family Medicine of the State Educational Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

Aim. Analyze the traumatism in the city health center №1 c. Dushanbe, evaluate its structure, suggest ways of preventing in practice of family doctor.

Materials and methods. For the analysis of traumatism in the city health center №1 c. Dushanbe statistical data of emergency station №3 at city health center №1 c. Dushanbe of 2012 -2013 years were used.

Results. Concerning street traumatism in 2012 1937 persons (40,4%), in 2013 – 1997 (38,4%) appealed. In 2013 decrease of cases of street traumatism on 2% is observe. Concerning home traumatism for medical care 2854 – 59,6% of patients, and in 2013 – 2495 – 47,9% (decrease 11,7%) appealed. 459 pupils received injuries at school (5,2%) in 2012, in 2013 – 241 (4,6%). Sports injuries in 2012 accounted 459 cases (9,5%), in 2013 – 388 (7,4%) (positive dynamics). Over the wound in 2012 1771 children (37,0%), in 2013 – 1440 (27,6%) appealed. Open fractures in 2012 included 8 cases (0,1%), in 2013 – 11 (0,2%) (increase on 0,1%); closed – 1568 (32,7%) in 2012 and 1275 (24,5%) in 2013. Dislocations in 2012 reached 281 case (5,6%), in 2013 – 205 (3,9%). With burns in 2012 18 persons (7,3%), in 2013 – 186 (3,7%), of animals bites 369 patients (7,1%) in 2012 and 320 (6,1%) in 2013 addressed. Conclusion. At the present time, there are serious problems in the prevention of traumatism due to the low level of education of the population, poor public and society awareness.

OPTIMISATION OF COMPLEX TREATMENT OF DAMAGES OF A SKELETON AT PATIENTS WITH A POLYTRAUMA

SIRODZHOV K.KH., RAHIMOV A.T.
THE DEPARTMENT OF TRAUMATOLOGY AND ORTHOPEDICS TIPGPMP
The unsatisfactory results of complex treatment of skeletal injuries and injury outcomes in patients polytrauma testify to the social and economic importance. The paper analyzes the results of studying the peculiarities of the structure of multiple and associated injuries skeleton, ways to optimize the treatment of fractures on the basis of orthopedic «Damage control» of 30 trauma patients. In the structure of combined trauma of the skeleton in the 81,7% of cases, there were fractures of long bones, 36,3% – fractures of other departments, 21,3% – pelvic bones, in 5,3% of cases – fracture of the spine. Fractures of the long bones in 78,4% of cases were of indoor and 21,6% of cases – the open character. Methods of early reposition fractures in the study group used in 30,4% of the observations, delayed – 15,7%, and later – in 9,5% of cases. In the control group received digital values amounted to, respectively, of 15,4%, 11,4 per cent to 17,3 per cent. Fractures of long bones of victims of the main group in 51,8% of the observations used for conservative treatment, 48,2% – by various methods of osteosynthesis with the use of stable forms (36,5%) and methods of osteosynthesis with additional external immobilization (11,7%).

OPTIMIZATION OF COMBINED TREATMENT OF FRACTURES OF THE LONG BONES IN PATIENTS WITH SIGNS OF FATTY HIPERGLOBULEMIYA

SIRODZHOV K.H., KARIMOV K.K., MIROV N. SH. AHMEDOV SH.M.
This paper analyses the results of treatment of 78 patients admitted to hospital with different mechanisms of injury, which was provided emergency and scheduled inpatient care. Together with a complex of modern medical -diagnostic measures authors studied a prognostic significance of diagnostics fat globulemiya. Express method according to Kornilov, which contributed to the early diagnosis of the syndrome of fat embolism and improve the results of surgical treatment of patients with injuries of the musculoskeletal system.

Optimization of combined treatment of fractures of the long bones in patients with signs of fatty hiperglobulemiya

Sirodzhov K.H., Karimov K.K., Mirov N. Sh. Ahmedov Sh.M.
This paper analyses the results of treatment of 78 patients admitted to hospital with different mechanisms of injury, which was provided emergency and scheduled inpatient care. Together with a complex of modern medical – diagnostic measures authors studied a prognostic significance of diagnostics fat globulemiya. Express method according to Kornilov, which contributed to the early diagnosis of the syndrome of fat embolism and improve the results of surgical treatment of patients with injuries of the musculoskeletal system.