Severe multiple trauma: analysis of multistage tactic of treatment

The research was conducted to analyze the results of the diagnosis, treatment, surgical correction stages, deadlines final stabilization of bone fragments. Clinical and laboratory parameters, stages according to Damage сontrol (DC) tactic, results of treatment were analyzed. A total of 140 operations were performed in several stages. Оn the first day were performed 114 operations in order to stop the bleeding and temporary immobilization of the limbs. On the 2–14 days were performed 26 operations due to deferred indicators. Thirty patients (93.7 %) developed posthemorrhagic anemia, 14 (43.75 %) patients - pneumonia. The local infectious complications (abscesses, festering wounds) occurred in 5 (15.6 %) patients, and urinary tract infection in 3 (9.3 %) patients. This question need to further study of intensive care and development of criteria for the sequence and timing of multistage surgical correction in order to optimize treatment and reduce complications.