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Vojnosanitetski pregled
2017, vol. 74, br. 8, str. 786-790
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.2298/VSP151207097M

Creative Commons License 4.0
Zbrinjavanje politraumatizovanog bolesnika sa torakalnim kapkom
aClinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac + University of Kragujevac, Faculty of Medical Sciences, Kragujevac
bClinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac
cMilitary Medical Academy, Clinic for Thoracic Surgery, Belgrade

e-adresa: s.milisavljevic65@gmail.com

Projekat

Primena biomedicinskog inženjeringa u pretkliničkoj i kliničkoj praksi (MPNTR - 41007)

Sažetak

Uvod. Zbrinjavanje politraumatizovanog bolesnika je problem kome se mora pristupiti multidisciplinarno u cilju dobijanja najboljeg mogućeg ishoda. Cilj rada bio je da prikaže lečenje bolesnika sa životno ugrožavajućom politraumom, personalizovanim pristupom u lečenju sa uspešnim ishodom posle neadekvatnog inicijalnog lečenja. Prikaz slučaja. Prikazan je slučaj mladog politraumatizovanog bolesnika koji je povrede zadobio kao vozač motora. Dominantne povrede bile su grudnog koša, trbuha i desne ruke. Zbog rupture jetre sa konkvasacijom i retroperitonealnim hematomom učinjena je tamponada jetre. Povreda grudnog koša uzrokovana bilateralnom serijskom frakturom rebara i torakalnim kapkom zbrinuta je obostranom grudnom drenažom. Nakon adekvatnog multidisciplinarnog hirurškog lečenja bolesnik je otpušten na kućno lečenje. Zaključak. Značaj prikaza ovog slučaja je u tome što pokazuje da se i teška politrauma sa inicijalno visokim trauma skorom i lošom prognozom može brzo i adekvatno lečiti i za rezultat imati očuvanje života povređenog.

Ključne reči

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