Russian MedicineRussian Medicine0869-21062412-9100Eco-Vector3795310.17816/rmj37953Research ArticleTHE SOCIOMEDICAL CHARACTERISTICS OF PATIENTS WITH SEVERE CONCOMITANT MIDFACIAL INJURIES AND THE SPECIFIC FEATURES OF MEDICAL CARE TO THEM IN AN INTENSIVE CARE UNITKopetskyI. Skopetski@rambler.ruNasibullinA. M.-N. I. Pirogov Russian National Research Medical InstituteCity Clinical Hospital One, Moscow150420121823621072020Copyright © 2012, Eco-Vector2012The paper gives the results of an analysis of case histories of 511 patients with traumatic midfacial lesions (TMFL), admitted to the intensive care unit of Moscow City Clinical Hospital One. It also evaluates the state of patients with TMFL. Particular attention is given to the role of factors that influence mortality rates among the patients with TMFL. The most important aspects of organization of medical care to patients with TMFL are shown to be essential in the first 24 hours after injury. Shorter prehospital times and early adequate respiratory support within the first 60 minutes are noted to cause a 51.7% death reduction as compared with later medical care. The proposed measures permit mortality rates to be decreased in the severe forms of TMFL in particular.midfacial injurymortalityintensive careповреждения средней зоны лицалетальностьинтенсивная терапия[Верткин А. Л., Багненко С. Ф. Руководство по скорой медицинской помощи. — М., 2006. — С. 101—106.][Дворник С. А., Кезля О. П. // Военная мед. — 2010. — № 1. — С. 88—92][Левшаков А. И., Уваров Б. С., Полушин Ю. С. Технические средства анестезиологической и реанимационной помощи. — СПб., 2009. — С. 236.][Шапот Ю. Б., Алекперов А. У., Алекперов У. К. // Мед. вестн. МВД. — 2006. — № 3. — С. 25—31.][Marschall J. C. // Crit. Care Med. — 1995. — Vol. 23. — P. 1638— 1652.]