Complications of pleural drainage in the practice of a military doctor

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Abstract

Chest injury is the most common type of combat injury. With the introduction of new approaches and methods of medical care in combat conditions, mortality rates from this injury have noticeably decreased, which is confirmed by the results of the operations of the US armed forces and their allies «Iraqi Freedom» and «Enduring Freedom». However, at the stages of medical evacuation, the number of deaths from wounds and chest trauma, in comparison with the Vietnam war, increased from 3 to 10%. The advanced stages of evacuation are characterized by early complications – inadequate choice of the drainage site, subcutaneous placement of drainage, intraoperative damage to the vessels, organs of the thoracic and abdominal cavity, in high-tech centers – late – coagulated hemothorax, pneumonia, pleural empyema, and several others. The study of clinical and diagnostic approaches to the provision of medical care to wounded with chest trauma is an urgent problem requiring, among other things, structuring the complications of pleural cavity drainage, optimization of diagnostic algorithms, and improvement of training methods for medical specialists.

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About the authors

D. Sh. Salimov

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Author for correspondence.
Email: cvkg_man@mail.ru

доктор медицинский наук, полковник медицинской службы

Russian Federation, Moscow

A. A. Vorobev

Volgograd State Medical University, Ministry of Health of the Russian Federation;
Volgograd Medical Research Center

Email: cvkg_man@mail.ru

заслуженный деятель науки РФ, профессор

Russian Federation, Volgograd; Volgograd

P. E. Krainyukov

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation; Peoples’ Friendship University of Russia of the Ministry of Education and Science of the Russian Federation

Email: cvkg_man@mail.ru

доктор медицинских наук, доктор военных наук, доцент, генерал-майор медицинской службы

Russian Federation, Moscow; Moscow

I. V. Glushkov

Volgograd State Medical University, Ministry of Health of the Russian Federation; 413th Military Hospital of the Ministry of Defense of the Russian Federation

Email: cvkg_man@mail.ru

подполковник медицинской службы

Russian Federation, Volgograd; Volgograd

A. V. Kalashnikov

Volgograd Medical Research Center

Email: cvkg_man@mail.ru

доктор медицинских наук, доцент

Russian Federation, Volgograd

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Copyright (c) 2024 Salimov D.S., Vorobev A.A., Krainyukov P.E., Glushkov I.V., Kalashnikov A.V.


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