Treatment of combat trauma of the main vessels of the upper extremities at the specialized care stage
- Authors: Esipov A.V.1, Pinchuk O.V.1, Yamenskov V.V.1, Rakov A.A.1
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Affiliations:
- National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- Issue: Vol 344, No 1 (2023)
- Pages: 38-44
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/629810
- DOI: https://doi.org/10.52424/00269050_2023_344_1_38
- ID: 629810
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Abstract
The article summarizes current literature data on the principles of staged treatment of combat injuries of the upper limbs with damage to the main vessels. The author analyzes his own experience in diagnosing and treating 54 wounded with injuries of the main arteries and veins of the hands at the first stage of specialized care in a basic medical institution. The provision of surgical care and the shortcomings of temporary arterial prosthetics at the stage of qualified medical care are considered. A set of diagnostic clinical and instrumental criteria for adequate detection of damage to the arteries of the subclavian-brachial segment is presented. The results got are compared with the conclusions of the literature sources. The optimal volume of specialized surgical care is discussed depending on the medical and tactical conditions in the base hospital. Examples of different surgical interventions on the main vessels of the upper limbs in case of their combat injuries are given.
About the authors
A. V. Esipov
National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Author for correspondence.
Email: oleg_pinchuk@mail.ru
заслуженный врач РФ, доктор медицинских наук, генерал-майор медицинской службы
Russian Federation, Krasnogorsk, Moscow RegionO. V. Pinchuk
National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: oleg_pinchuk@mail.ru
заслуженный врач РФ, профессор, полковник медицинской службы
Russian Federation, Krasnogorsk, Moscow Region
V. V. Yamenskov
National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: oleg_pinchuk@mail.ru
лауреат Государственной премии РФ, доктор медицинских наук, полковник медицинской службы
Russian Federation, Krasnogorsk, Moscow RegionA. A. Rakov
National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: oleg_pinchuk@mail.ru
кандидат медицинских наук, майор медицинской службы
Russian Federation, Krasnogorsk, Moscow RegionReferences
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).