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”10.23934/2223-9022-2022-11-4-708-717nmp-1528Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL OBSERVATIONSРанняя диагностика и лечение полиорганной недостаточности у больного с тяжелой сочетанной травмойPrognosis, Early Diagnosis and Treatment of Multiple Organ Failure in a Patient With Severe Concomitant Traumahttps://orcid.org/0000-0002-7088-8645ВладимироваЕ. С.VladimirovaE. S.

Владимирова Елизавета Семеновна, доктор медицинских наук, научный консультант отделения неотложной торакоабдоминальной хирургии 

129010, Москва, Большая Сухаревская пл., 3

 

Elizaveta S. Vladimirova, Doctor of Medical Sciences, Scientific Consultant, Scientific Department of Emergency Thoracic and Abdominal Surgery

3 B. Sukharevskaya Sq., Moscow, 129090

prizma06@yandex.ruhttps://orcid.org/0000-0002-2954-6985ИвановП. А.IvanovP. A.

Иванов Павел Анатольевич, доктор медицинских наук, заведующий научным отделением сочетанной и множественной травмы 

129010, Москва, Большая Сухаревская пл., 3

Pavel A. Ivanov, Doctor of Medical Sciences, Head, Scientific Department of Concomitant and Multiple Trauma

3 B. Sukharevskaya Sq., Moscow, 129090

ivanovpa@sklif.mos.ruhttps://orcid.org/0000-0002-3529-2344БадыговС. А.BadigovS. A.

Бадыгов Станислав Альбертович, заведующий отделением реанимации и интенсивной терапии для экстренных больных 

129010, Москва, Большая Сухаревская пл., 3

Stanislav A. Badigov, Head, Intensive Care Unit for Emergency Patients

3 B. Sukharevskaya Sq., Moscow, 129090

badigovsa@sklif.mos.ruhttps://orcid.org/0000-0002-5798-1407ПоповаИ. Е.PopovaI. E.

Попова Ирина Евгеньевна, кандидат медицинских наук, старший научный сотрудник отделения лучевой диагностики 

129010, Москва, Большая Сухаревская пл., 3

Irina E. Popova, Candidate of Medical Sciences, Senior Researcher, Department of Diagnostic Radiology

3 B. Sukharevskaya Sq., Moscow, 129090

popovaie@sklif.mos.ruhttps://orcid.org/0000-0001-7802-2283РейС. И.ReyS. I.

Рей Сергей Игоревич, кандидат медицинских наук, старший научный сотрудник отделения неотложной хирургии, эндоскории и интенсивной терапии

129010, Москва, Большая Сухаревская пл., 3

Sergey I. Rey, Candidate of Medical Sciences, Senior Researcher, Department of Emergency Surgery, Endoscopy and Intensive Care

3 B. Sukharevskaya Sq., Moscow, 129090

reysi@sklif.mos.ruhttps://orcid.org/0000-0002-1265-8032АлексеечкинаО. А.AlekseechkinaO. A.

Алексеечкина Ольга Анатольевна, кандидат медицинских наук, старший научный сотрудник отделения лучевой диагностики 

129010, Москва, Большая Сухаревская пл., 3

Olga A. Alekseechkina, Candidate of Medical Sciences, Senior Researcher, Department of Diagnostic Radiology

3 B. Sukharevskaya Sq., Moscow, 129090

alekseechkinaoa@sklif.mos.ruhttps://orcid.org/0000-0002-3726-3256БердниковГ. А.BerdnikovG. A.

Бердников Геннадий Анатольевич, кандидат медицинских наук, старший научный сотрудник отделения неотложной хирургии, эндоскории и интенсивной терапии 

129010, Москва, Большая Сухаревская пл., 3

Gennady A. Berdnikov, Candidate of Medical Sciences, Senior Researcher, Department of Emergency Surgery, Endoscopy and Intensive Care

3 B. Sukharevskaya Sq., Moscow, 129090

berdnikovga@sklif.mos.ruТарабринЕ. А.TarabrinE. A.

Тарабрин Евгений Александрович, доктор медицинских наук, заведующий научным отделением неотложной торакоабдоминальной хирургии 

129010, Москва, Большая Сухаревская пл., 3

Evgeny A. Tarabrin, Doctor of Medical Sciences, Head, Scientific Department of Emergency Thoracic and Abdominal Surgery

3 B. Sukharevskaya Sq., Moscow, 129090

tarabrinea@sklif.mos.ruГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovsky Research Institute for Emergency MedicineRussian Federation202204022023114708717Copyright © Владимирова Е.С., Иванов П.А., Бадыгов С.А., Попова И.Е., Рей С.И., Алексеечкина О.А., Бердников Г.А., Тарабрин Е.А., 20232023Владимирова Е.С., Иванов П.А., Бадыгов С.А., Попова И.Е., Рей С.И., Алексеечкина О.А., Бердников Г.А., Тарабрин Е.А.Vladimirova E.S., Ivanov P.A., Badigov S.A., Popova I.E., Rey S.I., Alekseechkina O.A., Berdnikov G.A., Tarabrin E.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1528

На примере клинического наблюдения показаны возможности динамической комплексной лучевой диагностики и клинико-лабораторных данных с учетом степени тяжести сочетанной травмы, которые позволяют отражать объективно динамику течения посттравматических изменений органов и тканей, дают возможность прогнозировать течение полиорганной недостаточности (ПОН). Последовательность и адекватный выбор тактики лечения с ранним использованием активных методов детоксикации способствуют благоприятному исходу.

On the example of a clinical observation, we demonstrate the possibilities of dynamic multimodality imaging techniques and clinical and laboratory data, taking into account the severity of the concomitant trauma, which allow us to reflect objectively the dynamics of post-traumatic changes in the organs and tissues and predict the course of multiple organ failure (MOF). Consistency and adequate choice of treatment tactics with early use of active detoxification methods contribute to a favorable outcome.

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