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THE RESULTS OF TREATMENT OF PATIENTS WITH LIVER INJURY. WAYS TO OPTIMIZE THE PROVISION OF ASSISTANCE

Zykova Nina V.  (postgraduate student, Surgut State University, Surgut )

Onishchenko Sergey V.  (MD, Professor, Surgut State University, Surgut)

Darvin Vladimir V.  (MD, Professor, Surgut State University, Surgut)

Shishulina Mariya P.  (Surgeon of the surgical department of the Surgut Clinical Traumatology Hospital, Surgut.)

Analysis of diagnostic and recovery results with closed liver injuries, optimization of diagnostic and treatment algorithms in the conditions of a level I trauma center at the present stage. This retrospective study was conducted at the Surgut Clinical Traumatology Hospital in Surgut, Khanty-Mansiysk Autonomous Okrug-Yugra. The study included 73 patients admitted with blunt liver injury, 55 men and 18 women. The majority of patients had a combined injury – 63 (86%), 6 (8.2%) patients had an isolated abdominal injury with liver damage, 4 (5.5%) had multiple internal injuries. organs. In 12 (16.4%) cases, liver injury was combined with spleen injury of varying severity. Non–surgical non-surgical (surgical means fast, prompt) treatment of liver injuries is possible for most blunt injuries in the absence of contraindications and the degree of damage is AAST 1-3. At the same time, it is possible to reduce the duration of treatment of patients, reduce the frequency of complications, such as the progression of anemia in the postoperative period, and the development of early adhesive intestinal obstruction. Such tactics can lead to improved treatment outcomes: reduced mortality, complications, and shorter duration of inpatient treatment.

Keywords:closed liver injury, non-surgical treatment, ASST, WSES, OIS, posthemorrhagic anemia, complications of liver injury.
 

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Citation link:
Zykova N. V., Onishchenko S. V., Darvin V. V., Shishulina M. P. THE RESULTS OF TREATMENT OF PATIENTS WITH LIVER INJURY. WAYS TO OPTIMIZE THE PROVISION OF ASSISTANCE // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№03. -С. 181-188 DOI 10.37882/2223-2966.2025.03.20
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