Aim. Systematization of the experience of the Fergana branch of the RRCEM on the management of victims withisolated and concomitant closed kidney injury.Material and methods. The study included 52 patients with closed kidney injury, hospitalized in the Ferganabranch of the RRCEM in the period 2001-2020. Kidney damage was established taking into account the clinicalpicture and the results of ultrasound and MSCT. In determining the severity of kidney injury, the AmericanAssociation for Surgical Injury Scale (AAST) Kidney Injury Scale was followed.Results. Conservative treatment was effective in all 23 (100%) patients with grade I kidney damage and in11 (91.7%) of 12 patients with grade II lesion. In all 8 (100%) cases of kidney injury with grade III lesion andin 4 (66.7%) cases out of 6 with grade IV injury, organ-preserving surgery was performed. Indications fornephrectomy appeared only in 5 (9.6%) patients out of 52, when IV and V degrees of kidney damage took place.Conclusion. In hemodynamically stable patients without clinical, ultrasound and MSCT signs of ongoingbleeding with kidney damage of I-IV degrees according to the AAST scale, conservative treatment can be carriedout. After the completion of the process of equipping the RRCEM and its regional branches with angiographiccomplexes, new prospects will open up for further improving the results of conservative treatment of kidneyinjury by including endovascular methods of hemostasis in the treatment standards.
| Mualliflar | A.Yu. Tukhtakulov, B.A. Tuychiev, B.M. Akhrarov, U.M. Matkarimov |
|---|---|
| Jurnal | Shoshilinch tibbiyot axborotnomasi |
| Nashr sanasi | 2022-01-01 |
| Jild | 14 |
| Son | 4 |
| Til | en |
| DOI | 10.54185/tbem/vol14_iss4/a9 |
DOI: 10.54185/tbem/vol14_iss4/a9 · Maqolaning asl sahifasi · PDF
Aim. In cases of acute poisoning, in order to provide emergency medical care to the patient, it is necessaryto correctly determine the cause of the poisoning. When analyzing blood and urine for the identificationof a…
По 280 больным изучены современные методы диагностики и результаты миниинвазивных вмешательств.Больным первым этапом выполнены эндоскопические транспапиллярные вмешательства и/ или чрескожные антеградные…
Aim. To investigate the clinical value of the right ventricular Tei index and TAPSE by examining its relationshipwith the clinical characteristics of postoperative congenital heart disease patients.Material and methods…
Republic of Uzbekistan.Material and methods. The results of the work of the combustiological service of the Republic of Uzbekistanhave been studied in the period since 2001 to 2020 based on a retrospective analysis. The…
AIM. Evaluation of the effectiveness of intraoperative ultrasound flowmetry and identification of differencesin blood flow characteristics by autoarterial shunts in patients with high surgical risk (EvroScore>6)…
Uzbekistan is a natural habitat for such venomous snakes of the viper family as the Macrovipera lebetinus, Echisand Gloydius. The most dangerous representative of this family in our country is Echis. The venom of…
Topicality. The advances achieved in the field of transplantation make it possible to make this type of renaltherapy routine and define it as the “gold standard” in the treatment of patients with chronic renal…
Acute kidney injury is a polyetiologic syndrome that is a sudden decrease in kidney function over several days or weeks, causing the accumulation of nitrogenous compounds in the blood, with or without a decrease in…
This article is devoted to one of the topical issues of modern traumatology and angiosurgery – the possibilityof performing primary reconstructive operations for complete and incomplete amputations, open and…
Aim. To study the antihypoxic and antioxidant effect of the new blood substitute «Rheoambrasol» in acute blood loss.Material and methods. The experiments were carried out on 60 rats, in which the experimental model of…