[Multiple and combined injuries to chest and abdomen as an unresolved surgical problem]
Abstract:
Peculiar features of surgical treatment of gunshot, non-lethal arm, and cold steel wounds are formulated based on the 20-year experience with managing 20,000 injured subjects having multiple and combined injuries to neck, chest, and abdomen of suicidal and criminal character. The growth in the number of patients with suicidal wounds and hemocontact viral infections (hepatitis, HIV) is emphasized. It is concluded that assessment of the state of gas exchange, lipid peroxidation, antioxidative, and immune systems does not give full idea of pathogenetic mechanisms of traumatic diseases.
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Assessment:
1. Clinical Evaluation:
History:
Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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