THE FEATURES OF TREATMENT AND DIAGNOSTIC APPROACH, THE EVACUATION TACTICS AT THERMAL BURNS ON NAVY


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The article is devoted to questions of treatment and diagnostic approach, the evacuation tactics at thermal burns of the Navy personnel. The main characteristics, the criteria of the prognosis of a burn trauma are submitted. The algorithms of antishock actions, therapy of a burn disease and inhalation defeat of airways are described. Also the attention is paid to the problems of inhalation poisoning with ship fire products (mainly, carbon monoxide) and components of volume chemical fire extinguishing system (chladones and derivatives of their thermal decomposition), acute nitrogen-induced hypoxia, acute overheating, which are capable to significantly worsen a clinical status and the forecast at burned seamen. The materials of article were included into the textbook on naval therapy published in Russian Military Medical Academy in 2015 (5 figs, 2 tables, bibliography: 6 refs).

作者简介

A. Chumakov

S. M. Kirov Military Medical Academy of the Russian Defense Ministry

Saint Petersburg, Russia

D. Cherkashin

S. M. Kirov Military Medical Academy of the Russian Defense Ministry

Saint Petersburg, Russia

I. Chmyrev

S. M. Kirov Military Medical Academy of the Russian Defense Ministry

Saint Petersburg, Russia

V. Chumakov

Research Institute of Shipbuilding and Weapons, Military Research Center of the Navy Naval Academy

Saint Petersburg, Russia

S. Petrachkov

S. M. Kirov Military Medical Academy of the Russian Defense Ministry

Saint Petersburg, Russia

A. Matveenko

S. M. Kirov Military Medical Academy of the Russian Defense Ministry

Saint Petersburg, Russia

A. Stepanenko

S. M. Kirov Military Medical Academy of the Russian Defense Ministry

Saint Petersburg, Russia

V. Filippov

S. M. Kirov Military Medical Academy of the Russian Defense Ministry

Saint Petersburg, Russia

参考

  1. Черкашин Д. В., ред. Военно-морская терапия. СПб.: Политехника; 2015. 478. Russian @@Cherkashin D. V., ed. Naval therapy. Saint Petersburg: Polytekhnika Publisher; 2015. 478.
  2. Быков И. Ю., Ефименко Н. А., Гуманенко Е. К., ред. Военно-полевая хирургия. М.: ГЭОТАР-Медиа; 2009. 816. Russian @@Bykov I. Yu., Efimenko N. A., Gumanenko E. K., ed. Military field surgery. Moscow: GEOTAR-Media Publisher; 2009. 816.
  3. Матвеенко А. В., Плотников С. А., Шиндяпин С. В. Модель прогноза исхода ожоговой травмы на основе пробитанализа (прогнозирование исхода ожоговой травмы). Вестник хирургии. 2006; 165 (4): 50-3. Russian @@Matveenko A. V., Plotnikov S. A., Shindyapin S. V. Model for predicting the outcome of a burn injury based on probit analysis (predicting the outcome of a burn injury). Vestnik khirurgii. 2006; 165 (4): 50-3.
  4. Матвеенко А. В., Тарасенко М. Ю., Адамкин А. Л., Петрачков С. А. Ожоговый шок. Учебное пособие. СПб.: ВМедА; 2008. 30. Russian @@Matveenko A. V., Tarasenko M. Yu., Adamkin A. L., Petrachkov S. A. Burning shock. Tutorial. Saint Petesburg: VMedA Publisher; 2008. 30.
  5. Петрачков С. А. Лечебно-эвакуационная характеристика тяжело и крайне тяжело обожженных. Автореф. дис. … канд. мед. наук. СПб.; 2004. 24. Russian @@Petrachkov S. A. Medical and evacuation characteristics of severely and extremely severely burned. Ph. D. thesis. Saint Petesburg; 2004. 24.
  6. Черкашин Д. В., Чумаков В. В., Чумаков А. В., Гришаев С. Л., Мясников А. А. Ингаляционные отравления при пожарах на подводных лодках Военно-морского флота: особенности лечебно-диагностического подхода. Вестн. Рос. воен.-мед. акад. 2015; 51 (3): 22-7. Russian @@Cherkashin D. V., Inhalation poisoning in case of fires on submarines of the Navy: features of the therapeutic and diagnostic approach. Vestn. Grew up. Military medical acad. 2015; 51 (3): 22-7.

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版权所有 © Chumakov A.V., Cherkashin D.V., Chmyrev I.V., Chumakov V.V., Petrachkov S.A., Matveenko A.V., Stepanenko A.A., Filippov V.Y., 2020

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