Zbrinjavanje politraumatizovanog bolesnika sa torakalnim kapkom

  • Bojan Milošević Clinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac, Serbia; University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
  • Slobodan Milisavljević Clinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac, Serbia; University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
  • Nikola Dončić Clinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac, Serbia
  • Miloš Arsenijević Clinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac, Serbia; University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
  • Stanko Mrvić Clinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac, Serbia
  • Dragan Stojković Clinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac, Serbia
  • Nebojša Marić Military Medical Academy, Clinic for Thoracic Surgery, Belgrade, Serbia
  • Marko Spasić Clinical Center Kragujevac, Clinic for General and Thoracic Surgery, Kragujevac, Serbia; University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
DOI: https://doi.org/10.2298/VSP151207097M
Ključne reči: multiple trauma||, ||povrede, multiple, thoracic injuries||, ||toraks, povrede, liver||, ||jetra, humeral fractures||, ||humerus, prelomi, diagnostic techniques and procedures||, ||dijagnostičke tehnike i procedure, suction||, ||aspiracija, mehanička, respiration, artificial||, ||disanje, mehaničko,

Sažetak


Uvod. Zbrinjavanje politraumatizovanog bolesnika je problem kome se mora pristupiti multidisciplinarno u cilju dobijanja najboljeg mogućeg ishoda. Cilj rada bio je da prikaže lečenje bolesnika sa životno ugrožavajućom politraumom, personalizovanim pristupom u lečenju sa uspešnim ishodom posle neadekvatnog inicijalnog lečenja. Prikaz slučaja. Prikazan je slučaj mladog politraumatizovanog  bolesnika koji je povrede zadobio kao vozač motora. Dominantne povrede bile su grudnog koša, trbuha i desne ruke. Zbog rupture jetre sa konkvasacijom i retroperitonealnim hematomom učinjena je tamponada jetre. Povreda grudnog koša uzrokovana bilateralnom serijskom frakturom rebara i torakalnim kapkom zbrinuta je obostranom grudnom drenažom. Nakon adekvatnog multidisciplinarnog hirurškog lečenja bolesnik je otpušten na kućno lečenje. Zaključak. Značaj prikaza ovog slučaja je u tome što pokazuje da se i teška politrauma sa inicijalno visokim trauma skorom i lošom prognozom može brzo i adekvatno lečiti i za rezultat imati očuvanje života povređenog.

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Objavljeno
2017/09/19
Broj časopisa
Vol. 74 Br. 8 (2017)
Rubrika
Prikaz bolesnika