Efficiency of Treating Patients with Cold Injury
The purpose and objectives of the study: to evaluate the efficiency of traditional methods of surgical and conservative treatment of the cold injury, to set clinical, instrumental and laboratory factors determining it, to highlight the prognostic criteria. Material and methods. The study included 147 patients with frostbites (128 men and 19 women aged from 16 to 79 years). Various methods of surgery were used in 48 % of cases, 52 % of patients were treated conservatively. Results. Amputations of limbs were carried in 18 % of patients with cold injury, amputations of fingers — in 24 %, and complete preservation of the anatomical features of arms and legs were established in 59 % of the victims, and the treatment efficiency of women with frostbites was better than men, at the same time the results of therapeutic measures are worsen according to the increased age of patients. Presence of concomitant cardiovascular and respiratory disease, the degree of abnormality of blood flow in vessels, integrated changes in initial laboratory parameters (levels of protein, non-protein nitrogenous products, the parameters of blood coagulation, activity of creatine kinase in it, physicochemical values of interphase activity and viscoelasticity of serum) are negatively depend on frostbite severity, that may have prognostic value for further surgical interventions. Conclusions. The results of therapeutic measures in cold injury are closely related to the clinical and laboratory course of the pathological process, and the highlighted prognostic criteria will improve the quality of medical technology to assist these patients.
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