K.Kh. SIRODZHOV, A.T. RAKHIMOV

Tajik Institute for Post degree Training of Medical Personnel, 59 Prospekt Somoni, Dushanbe, Tajikistan Republic, 734026  

Sirodzhov K.Kh. — PhD (Medicine),Headof the Department of Traumatology and Ortopedics, tel.: (+992 93) 529-09-63, е-mail: sirodzhovk93529s@mail.ru

Rakhimov A.T. — applicant of the Department of Traumatology and Ortopedics, tel.: +7-928-87-65-28, е-mail: sirodzhovk93529s@mail.ru 

While studying the electrolyte exchange by analyzing the mixed venous blood in 67 patients with a combined trauma, correlation of the indicated indexes with the severity of damage was revealed. It is found that with the increase of the injury severity the retention of Na⁺ in erythrocytes and plasma Na⁺ takes place, which causes the development of interstitial edema.

The timely conservative and surgical treatment on the basis of orthopedic damage control in the acute period, has reduced the proportion of complications in the study group by 12.8%, unsatisfactory treatment results — by 3.0% and the period of hospitalization — by an average of 7.3 bed-days compared with identical parameters in control patients.

Key words: polytrauma, mixed venous blood, control of damages, severity of a trauma, dysfunction, shock.

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