DYNAMICS OF PATHOLOGICAL CHANGES OF SMALL INTESTINE TISSUE IN CASE OF MECHANICAL TRAUMA

The attention of specialists from different fields of medicine has been given to the mechanism of development and time of damage of abdominal organs, as these questions are extremely relevant, both in terms of diagnostics and in terms of treatment of patients, and in the preventive aspect of injury. According to many authors, injuries of the abdominal cavity of small and large intestine occupy the first place at the frequency, make up an average of 29.0-35.3%, and are characterized by high lethality, which reaches 30-50%. The damage to small intestine is observed in 7-9 times more often than the thickness due to the anatomical and topographical features: the small intestine is located closer to the ripple, it has a large mass, the length is not protected by bones of the skeleton and muscles, more mobile than the large intestine, which is located deep in the abdominal cavity, well protected by abdominal muscles. An isolated trauma of the small intestine occurs in 20% of cases. More often, such lesions are observed in combination with the injury of other organs of the abdominal cavity and retroperitoneum. Materials and methods. Research materials are forensic research bodies acts and expert and sectional material - hollow tissue trauma of the abdomen (78 people men – 66, and women - 12, aged 20 to 60 with the presence or absence of alcohol in the blood, 32 inpatient medical records and ambulatory patients who died. In conducted studies histological and histological methods, performed statistical analysis of the results were used. Results and discussion. Damage to the small intestine can be isolated and multiple, isolated and combined. Diagnosis of injuries penetrating into the abdominal cavity does not cause complications. Symptoms characteristic of the clinical picture of isolated intestinal damage depend on the nature and localization of the injury, the degree of damage to the intestine, the combination with the damage to other organs of the abdominal cavity and retroperitoneal space. When medical records of traumatized and died from mechanical trauma were observed, a different clinical picture was observed depending on character, localization, size of damage and time elapsed since the injury. Conclusions. Thus, the studies found out that the morphological features of small bowel injury can solve the question whether there was this gap directly at the time of the injury, or it is a consequence of necrobiotic changes in bleeding that accumulated. The results suggest legitimate dynamic changes in histological indices of the victims, who died from injuries inflicted, and the ability to develop a set of criteria for assessing the occurrence of damage limitation establishment hollow abdominal organs.