CRITERIA FOR THE CHOICE OF TREATMENT AND DIAGNOSIS OF COMBINED CHEST INJURIES IN PEDIATRIC PRACTICE
Keywords:
videothoracoscopy, combined chest injury, shock index, pediatric surgery, children.Abstract
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.
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Статья поступила в редакцию 03.03.2024; одобрена после рецензирования 21.04.2024; принята к публикации 26.04.2024.
The article was submitted 03.03.2024; approved after reviewing 21.04.2024; accepted for publication 26.04.2024.
Информация об авторах:
Тиляков Азиз Буриевич - к.м.н., профессор, ректор. Ташкентский педиатрический медицинский институт, Ташкент, Узбекистан. Е-mail: tiliakov@bk.ru, https://orcid.org/0000-0002-9743-0482
Тиляков Хасан Азизович- PhD, заведующий кафедры ФПДО травматалогии-ортопедии, нефрохирургии и офталмологии. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail:shaxxas.tilyakov@gmail.com, https://orcid.org/0000-0001-557-7302
Аёзбоев Зухриддин - резидент ординатуры кафедры ФПДО травматалогии-ортопедии, нефрохирургии и офталмологии. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: zuhriddin09a@gmail.com
Набиев Мухаммади - резидент ординатуры кафедры ФПДО травматалогии-ортопедии, нефрохирургии и офталмологии. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: nabiyevmuhammadi41@gmail.com
Источники финансирования: Работа не имела специального финансирования.
Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.
Вклад авторов:
Тиляков А.Б . — идеологическая концепция работы, написание текста; редактирование статьи;
Тиляков Х.А. — сбор и анализ источников литературы, написание текста.
Аёзбоев З- написание статьи, внесение изменений в текст, обработка материалов.
Набиев М - написание статьи, внесение изменений в текст, обработка материалов.
Information about the authors:
Aziz B. Tilyakov - PhD, Professor, Rector. Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan. E-mail: tiliakov@bk.ru, https://orcid.org/0000-0002-9743-0482
Хasan A. Tilyakov - PhD, Head of the Department of Traumatology-Orthopedics, Nephrosurgery and Ophthalmology. Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: shaxxas.tilyakov@gmail.com, https://orcid.org/0000-0001-557-7302
Zukhriddin Ayozboev- is a resident of the Department of Traumatology-Orthopedics, Nephrosurgery and Ophthalmology. Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: zuhriddin09a@gmail.com
Mukhammadi Nabiyev - is a resident of the Department of Traumatology-Orthopedics, Nephrosurgery and Ophthalmology. Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: nabiyevmuhammadi41@gmail.com
Sources of funding: The work did not receive any specific funding.
Conflict of interest: The authors declare no explicit or potential conflicts of interest associated with the publication of this article.
Contribution of the authors:
Tilyakov A.B. — the ideological concept of the work, writing the text; editing the article;
Tilyakov H.A. — collection and analysis of literature sources, writing a text.
Aezboev Z- writing an article, making changes to the text, processing materials.
Nabiev M - writing an article, making changes to the text, processing materials.
