Autor: |
Samokhvalov IM, Gavrilin SV, Badalov VI, Nedomolkin SV, Meshakov DP, Khrapov KN, Vasil'ev MA |
Jazyk: |
ruština |
Zdroj: |
Voenno-meditsinskii zhurnal [Voen Med Zh] 2011 May; Vol. 332 (5), pp. 20-4. |
Abstrakt: |
One of modern tendencies of carrying out long ALV of patients with polytrauma is application of "early" tracheostomy. Thus optimum terms of early tracheostomy are defined indistinctly and vary from 2 to 10 days from beginning of ALV. It is established that at predicted long ALV of patients with polytrauma optimum terms of tracheostomy performance is the second period of traumatic illness (12-48 hours from the moment of getting trauma). Tracheostomy, executed for patients with polytrauma for the purpose of maintenance long AL V in early terms, promotes improvement of gases diffusion, microcirculation in lungs, improvement of system of external breath as a whole and it is accompanied by decrease in frequency of development life danger infectious pulmonary complications and lethality reduction. |
Databáze: |
MEDLINE |
Externí odkaz: |
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