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VOL. 3, ISSUE 2 (2021)
Severe burns: Prevention and treatment for multiple-organ failure
Authors
Hakimov E A, Shakirov B M, Khayitov U K, Begnaeva M U, Yarmatov K E
Abstract
Aims: This study was to improve the results of treatment of burn patients through the prevention and correction of multiple organ failure syndromes. Material and Methods: The courses of the study were patients aged 18 to 74 years who were treated at the of the Centre of Emergency Medical Care Samarkand Uzbekistan from 2008 to 2018. All patients during the observation period were divided into 2 groups regardless of treatment methods. The first (control) group consisted of 313 (48.67%) patients treated in the burn department during in 2008-2013, who underwent complex treatment with traditional anti-shock infusion-transfusion therapy and conventional methods of treating burns. The second (basic) group consisted of 330 (51.33%) patients treated in the burn department during in 2013-2018, who were offered shock infusion-transfusion therapy with improved inotropic and organoprotective support in connection with dysfunction of vital organs. organs. Surgical treatment plays a leading role in the prevention and treatment of POE. These include necrotomy, multiple micro perforations for dry scabies, and necrectomy with simultaneous autodermoplasty. Results: The presented results indicate that the proposed method and early surgical tactics for treating burns are undoubtedly effective in patients with severe burn injury. Concomitant early necrectomy with autodermoplasty decreased EPO in severe burns from 94.2% to 60.9% and mortality from 27.47% to 19.39%, which led to the length of hospital stay by 42.5 ± 1.3 beds per 33.3 ± 1.0 bed-days. Conclusions: SPOI dysfunction is very serious: in dysfunction of two organs lethality makes 30-40%, in dysfunction of four or more organs or systems convalescence is practically impossible. However if active treatment of preventive character is provided, the patients life can be saved.
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Pages:32-37
How to cite this article:
Hakimov E A, Shakirov B M, Khayitov U K, Begnaeva M U, Yarmatov K E "Severe burns: Prevention and treatment for multiple-organ failure ". International Journal of Medical Science and Research, Vol 3, Issue 2, 2021, Pages 32-37
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