Peculiarities of acute period of traumatic disease in injured persons, suffering obesity

• Main Authors: S. D. Khimich, О. М. Chemerys
• Format: Article
• Language: Russian
• Published: Liga-Inform ltd. 2018-04-01
• Series: Клінічна хірургія
• Subjects: оbesity; polytrauma; traumatic disease
• Online Access: https://hirurgiya.com.ua/index.php/journal/article/view/396

Objective. To determine the peculiarities of development and course of the traumatic disease acute period (TDAP) in patients, suffering different degrees of obesity. Маterials and methods. The results of observation of 64 patients, suffering combined closed trauma of the body, were analyzed. Results. In all 14 (21.9%) (р < 0.04) patients, suffering obesity Degree ІІ, ІІІ, hemopneumothorax was diagnosed. Another acute disorder have constituted a pulmonary one – rapid development of respiratory distress–syndrome. In the injured persons with obesity Degree І in acute period of traumatic disease a pulmonary edema have developed rapidly, originated due to neurological consequences of combined closed thoracic trauma and closed cranio–cerebral trauma. Concerning the gut state in the obesity patients Degrees ІІ, ІІІ, occurrence of acute stress erosive gastric affections is characteristic. Conclusion. The TDAP course in patients, suffering obesity, is much more severe, and is caused by persistent dysfunctions in period of traumatic shock.