2016, Volume 10, Issue 1

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https://hdl.handle.net/20.500.13044/2117

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Przeglądanie 2016, Volume 10, Issue 1 według Autor "Ślifirczyk, Anna"
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    Treatment results evaluation in patients with severe sepsis, caused by severe traumatic brain injury at intensive care unit of Ternopil University Hospital / Ocena wyników leczenia pacjentów z ciężką sepsą spowodowaną silnym urazowym uszkodzeniem mózgu na oddziale intensywnej terapii Uniwersyteckiego Szpitala w Tarnopolu
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-04-07) Oliynyk, Oleksandr V. ; Pereviznyk, Bohdana O. ; Ślifirczyk, Anna ; Yemiashev, Oleh V. ; Krasiy, Nataliya I.
    Background. Severe traumatic brain injury stays one of the main reasons of humans’ mortality until the age of 40. Ternopil University Hospital delivers medical care to the patients with neurosurgical pathology of Ternopil region, which is comprised of 1 107 000 citizens. Material and methods. In this paper we analyzed the treatment results of 301 patients with severe traumatic brain injury (STBI), who were treated at intensive care unit of Ternopil University Hospital during 2013-2014. Microbiological research and evaluation of results were accomplished according to generally accepted principles, based on the Bergey’s classification. Results. In 72 patients it was complicated by severe sepsis. The mortality rate in clinic reached 29.7% in 2013-2014, or equals 1.9 person per 100 000 of population. Among the intensive care unit patients with STBI, who had the surgery based on this pathological condition, sepsis developed in 23.9% of patients. Acute respiratory distress syndrome (ARDS), which complicated sepsis, was successfully cured in 73.3% of cases, by additional usage of traditional ventilation, kinesiotherapy, oxygen therapy and pulse therapy with glucocortisteroids (GS). 22.2% of patients obtained acute renal failure, 9.72% of patients were treated by implementing hemodialysis. Concomitant polytrauma was present in 23.9% of patients. Conclusions. Theusageof pulse therapy with glucocortisteroids additionally to traditional mechanical ventilation, kinesiotherapy, and oxygen therapy for the treatment of acute respiratory distress syndrome helps to improve the life expectancy of patients.