FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to traumatology and orthopaedics, and can be used for choosing therapeutic approach for elderly and senile patients with severe combined injury (polytrauma). Proposed method provides that a number of erythrocyte count (RBC) is determined in complex, haemoglobin level (HGB), total blood protein level, blood albumins and prothrombin time (PTT), corresponding number of points is assigned for each of the detected value of a blood sample, then points are multiplied by corresponding weight coefficient, derived points are summed, and if total score corresponds to 3÷4, very high degree of fatal outcome risk is determined, when the value is equal to 2÷2.9, high degree of fatal outcome risk is determined, when the value is equal to 1.2÷1.9, - average risk and when the total score of < 1.2 – low risk of fatal outcome risk. Determination of fatal outcome risk allows to optimize the therapeutic approach for a patient in accordance with dynamic control of damages, and namely, on receipt of the poor prognosis should refrain from surgery of the second and next surgical stages of damages dynamic control, and on receipt of the favorable prognosis for life surgeries of the second and next surgical stages can be performed.
EFFECT: such tactics allows to reduce death rate among elderly and senile patients with severe combined injury.
1 cl, 11 tbl, 3 dwg, 3 ex
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Authors
Dates
2017-03-15—Published
2015-08-20—Filed