DETERMINATION OF TIME OF INFLIC-TION OF MECHANICAL TRAUMA AF-TER THE DYNAMICS OF CHANGES OF ULTRASONIC INDEXES OF ORGANS OF ABDOMINAL REGION

Expedient and reliable as for establishment of remoteness of origin of damages there is a method of ultrasonic diagnostics at a mechanical trauma. At suspicion on injuring of internal organs of abdominal region during realization of ultrasonic researches, estimate a presence, localization and amount of free liquid in an abdominal region. A presence or absence of damages of the close located organs and fabrics determines the absence of free liquid in the abdominal region that minimizes authenticity of breaks of organs and their vascular-secretory vehicle. The aim of this work was to study the dynamics of changes of ultrasonic indexes of organs of abdominal region (liver, pancreas, spleen) at the various types of mechanical traumas depending on the remoteness of infliction of damages. Results and discussion. Because of undertaken studies, we induced the appropriate dynamics of changes of ultrasonic indexes of organs of abdominal region (liver, spleen, and pancreas). Because of caused traumas, that speci-fies on possibility of development of complex of criteria for the estimation of establishment of remoteness of origin of damages of internal organs. It is a set of clinical and ultrasonic diagnostics in all cases of mechanical traumas with the damage of organs of abdominal region is difficult. During realization of ultrasonic research at presence of anamnesis of mechanical trauma important to pay attention to echoicity of organs. To conduct control ultrasonic researches in dynamics with the aim of exception of complications of damages (two-stage breaks) is connection of a term of time. Between the first stage of formation of subcaspule hematomas of organs and break of hematoma that accumulated, protracted enough. It follows to consider the breaks of parenchyma in the main ultrasonic signs of damage of liver with formation of intraparenchymatous or subcapsule haematomas. For that characteristic ultrasonic criteria is a jumboizing of liver (more often as a result of increase of the damaged part), heterogeneity of structure, washed out of contours and them cut out, presence hypo- and unechogenic areas (haematomas), on a background an uncrippled parenchyma. Intraparenchymatouses haematomas are educed by us in 70 % supervisions, a subcapsule it is a set of 30 %., that clinical and ultrasonic diagnostics in all cases of mechanical trauma with the damage of pancreas is difficult enough. We observed the isolated damages of pancreas in 18 % trauma persons, in other cases the trauma of pancreas was connected with the damages of liver and extrahepatic bilious channels, spleen, to the bowels.