Extreme state of the organism in injury surgery. Theoretical conception and practical aspects of the problem

The review represents the data published in literature and obtained by the author, concerning the problem of the organism extreme state. The extreme state is demonstrated on the basis of a clinical model of severe associated trauma (polytrauma). Wide interdisciplinary juxtapositions are used to find out the nature of a chaotic multiorgan dysfunction at an early stage after the trauma. When studying clinical events and their pathogenesis, fundamental statements of sinergetics and theoretical phisics developped in the second half of the XX-th century are taken into consideration, such as: theory of complex systems, regularities of attractors, fractal bifurcational compositions of Mandelbrot set.

The advantage of interdisciplinary juxtapositions is proved in terms of a better understanding of the individual character of disturbances of the organism multifunctional sinergetics at extreme state. We discuss the possibility to use the given approach for the purpose of prospective prognosis of clinical manifestations development and intentional elimination of critical instability of the organism key system-making factors.