Examples of using Polytrauma in English and their translations into Russian
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The content of IL-1β, IL-2, IL-8, IL-10 andTNFα in patients with polytrauma.
Today, the term"polytrauma" describes severe multiple and combined injuries 5, 6.
Keywords: craniocerebral trauma; cerebral oximetry; polytrauma, anti-shock assistance.
Such polytrauma definition covers nearly 60% of all severe multiple trauma cases.
The article presents a review of Russian andforeign literature on polytrauma.
Integration of criteria of polytrauma severity degrees into the international classification of diseases.
Surgical treatment andmortality in patients with abdominal injuries in polytrauma.
Hypothermia is associated with such polytrauma death predictors as blood loss, acidosis and coagulopathy 59.
Hemoglobin level is an independent predictor of fatal polytrauma outcome 35, 43.
Radiologic evaluation and polytrauma treatment according to reports ATLS review of the literature and own observations.
Development of pathogenetic methods of diagnostics,evaluation of state severity and injuries in polytrauma.
Concomitant injury of brain andbones of the facial skeleton in polytrauma was found in 13.3% of patients with polytrauma. .
However, there is no agreement of opinions concerning trauma severity assessment criteria able to classify the injuries as polytrauma.
Keywords: spine injuries;spinal trauma; polytrauma; spine X-ray; multislice computed tomography; magnetic resonance imaging.
MSCT of the chest andthoracic spine of patient G., 23 years old, with polytrauma caused by a traffic accident.
Keywords: polytrauma; prognostic factors in polytrauma; mortality in polytrauma; scales and systems of injury severity evaluation.
MSCT of the spine, thoracic and abdominal cavities of patient G., 32 years old, with polytrauma caused by a traffic accident.
However, polytrauma severity evaluation with assigning the maximum score or summing AIS scores is not consistent with trauma outcomes and is not suitable for prognosis.
Evaluation according to ISS scale is in positivecorrelation with mortality and reflects the severity of injuries in polytrauma more objectively 1, 15, 16.
The term"polytrauma" is widely used in European countries, the terms"multiple trauma" or"severe injury" are more often applied instead of it in the USA.
High sensitivity(79-97%) and specificity(84-97%) of the scale is observed in evaluating TBI severity andpredicting death in polytrauma 32, 39, 40.
The variety of combination of body injuries anddisorders occurring in polytrauma, the necessity to make quick decisions on diagnosis and treatment dictate the need for trauma severity classification.
Clinical guidance"(1998, 2001, 2002),"Clinical traumatic brain injury epidemiology"(2002),"Traumatic brain injury:Modern Principles of emergency care assistance"(2009),"Polytrauma"(2012) and others.
The proposed survival rates andprognostic factors are tied to specific polytrauma databases differing in terms of mortality and quality of medical care, which is reflected in their predictive value.
Only one most severe injury within one body region is taken into account in ISS scoring system,while other prognostically relevant injuries remain uncounted, which leads to imprecise evaluation of polytrauma severity.
Prof. Gerhard Schmidmaier, MD Department of Traumatology Traumas including polytrauma, reconstructive surgery in cases of interrupted healing of fractures e.g. with misalignments, bone defects, infections, revision surgery 27.
Summary: The article is devoted to an objective study of the effect of infusion therapy for patients with prolonged hypotension in the intensive care complex of acute period of traumatic illness with severe polytrauma.
The use of the algorithm in everyday practice in patients with penetrating craniofacial injury and polytrauma enables to improve the diagnosis and objectify the time optimal for surgical management of cerebrospinal fluid rhinorrhea, reduce the lethality up to 8%, and the morbidity of pyoinflammatory complications- up to 4.8.
Besides, thrombocytopenia intensity, decrease the level of factors II and V[64] and fibrinogen(less than 2.29 g/L) have practical value forpredicting unfavorable outcome and identifying the severity of the state in polytrauma 65.
Certain types of injuries are also independent predictors of fatal polytrauma outcome: compound fracture of pelvic bones[31], spine and spinal cord injury in combined TBI[32], bilateral pulmonary contusion and rib fracture in combined chest injury[33], severe TBI or severe chest injury in combined pelvic trauma 34-36.

