K.Kh. SIRODZHOV, Sh. M. AKHMEDOV, A.M. MURADOV, K.K. KARIMOV

Institute for Postgraduate Education in the sphere of Healthcare of the Republic of Tajikistan, 59 I. Somoni Pr., Dushanbe, Republic of Tajikistan, 734026

Sirodzhov K.Kh. — Cand. Med. Sc., Associate Professor, Head of the Traumatology and Orthopedics Department, tel. (+992 93) 529-09-63, e-mail: sirodzhovk93529s@mail.ru

Akhmedov Sh.M. — postgraduate student of Traumatology and Orthopedics Department. tel. (+992 93) 501-42-45, e-mail: magistr_shavkat@mail.ru

Muradov A.M. — D. Med. Sc., Professor, Head of the Department of Efferent Medicine and Intensive Care, tel. (+992 90) 073-01-10, e-mail: Alishermuradov@mail.ru

Karimov K.K. — Cand. Med. Sc., Assistant Lecturer of Traumatology and Orthopedics Department, tel. (+99291) 872-57-77, e-mail: karimov-doktor@mail.ru

The authors analyzed the results of the diagnosis and treatment of 183 patients with combined and multiple traumas. Thanks to the research of the plasma blood lipids in patients with venous blood and the use of a modified isovolumic hemodilution we managed to optimize the extremities fractures treatment in patients of the main group. Complications reduced by 9.9% (15.7 and 25.6% respectively) and poor results of treatment — by 10.9% (5 and 15.9 % respectively).

The positive treatment results in the main group are due to an optimized approach to the extremities fractures treatment, taking into account the lipid specter and the use of sparing osteosynthesis methods. The modified isovolumic hemodilution allows to elliminate the patient’s shock, improves blood oxygen transportation, minimizes the amount of blood loss, the degree of endogenous intoxication, the risk of fat embolism syndrome and other vital distortions.

Key words: optimization, trauma, shock, damage, complications, outcome, osteosynthesis.

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