CRITERIA FOR THE CHOICE OF TREATMENT AND DIAGNOSIS OF COMBINED CHEST INJURIES IN PEDIATRIC PRACTICE

Аннотация

63 children with chest injuries of varying severity and localization were admitted to the Center for Pediatric Surgery of SamMU for the period 1996-2022. There were 39 children with combined chest injury. Thoracotomy was performed on 8 children, 22 underwent video thoracoscopic surgical interventions. The age ranged from 3 to 15 years. A retrospective analysis of the treatment of 39 children with combined injuries was carried out. The patients were divided into 4 groups according to the severity of shock according to the Algover classification. As a result of a retrospective analysis of the use of various surgical approaches, the severity of the existing injuries and the possibility of their elimination, it was shown that the Algover shock index allows fairly objectively predicting the possibility of performing therapeutic VTS in children with combined chest injury and is directly correlated with the probability of BBTRISS survival, which correlate with the degree of shock and existing injuries in the patient.