nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2021-10-3-530-539nmp-1216Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSТравматологический аспект лечения политравмы у пациентов пожилого и старческого возрастаTraumatological Aspect of Polytrauma Treatment for Elderly and Senile Patientshttps://orcid.org/0000-0002-6393-5183ВалиеваР. И.ValievaR. I.

младший научный сотрудник, отделение сочетанной и множественной травмы

 Российская Федерация, 129090, Москва, Большая Сухаревская пл., д. 3 

Junior Researcher, Department of Combined and Multiple Trauma

 3 Bolshaya Sukharevskaya Square, Moscow 129090, Russian Federation 

tiffozik@mail.ruhttps://orcid.org/0000-0002-2954-6985ИвановП. А.IvanovP. A.

доктор медицинских наук, заведующий научным отделением сочетанной и множественной травмы

Российская Федерация, 129090, Москва, Большая Сухаревская пл., д. 3 

Doctor of Medical Sciences, Head of the Scientific Department of Combined and Multiple Trauma

 3 Bolshaya Sukharevskaya Square, Moscow 129090, Russian Federation 

ipamailbox@gmail.comГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare DepartmentRussian Federation202118112021103530539Copyright © Валиева Р.И., Иванов П.А., 20212021Валиева Р.И., Иванов П.А.Valieva R.I., Ivanov P.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1216

Проведенный анализ отечественных и зарубежных источников литературы показал, что проблема диагностики и лечения политравмы у пациентов пожилого и старческого возраста сохраняет свою актуальность в настоящее время. Основным предметом обсуждения остается высокая смертность в данной группе пациентов. На данном этапе развития медицины актуален активный подход к их лечению, смертность в этой группе больных остается в несколько раз выше, чем в группе пациентов младше 65 лет. Приоритетным направлением является изучение проблем диагностики повреждений у лиц пожилого и старческого возраста с политравмой. Также основополагающим вопросом является разработка эффективного алгоритма хирургического лечения повреждений, учитывающего возрастные изменения, наличие сопутствующей патологии и повышенный риск развития осложнений у пациентов данной возрастной группы.

 The conducted analysis of Russian and foreign literature sources showed that the problem of diagnostics and treatment of polytrauma in elderly and senile patients is still relevant. The main discussion point is the high  mortality rate in this group of patients. Although at this level of the  medicine’s evolution, an active approach to the treatment offered to such patients is applicable, the mortality rate in this group of patients remains much higher than in the group of patients under 65. The priority here is to study the difficulties of diagnosing injuries in elderly and senile patients with  polytrauma. Also, a fundamental issue is the development of an effective algorithm for the surgical treatment of injuries, taking into  consideration age­related changes, the presence of concomitant pathology and an increased risk of complications in patients of this age group.  

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The authors declare that there are no conflicts of interest present.