[Ortho] Polytrauma

[Oleksiy Ladyzhev]

п║п©п╟я│п╦п╠п╬ п╠п╬п╩я▄я┬п╬п╣ п╥п╟ п©я─п╣п╢я│я┌п╟п╡п╩п╣п╫п╫я▀п╧ я│п╩я┐я┤п╟п╧. п·я┤п╣п╫я▄ п©п╬п╥п╫п╟п╡п╟я┌п╣п╩я▄п╫п╬.



п▓я┌, 24 п╨п╡я√я┌. 2018 21:37 п╨п╬я─п╦я│я┌я┐п╡п╟я┤ Djoldas Kuldjanov <orthoforum на weborto.net>
п©п╦я┬п╣:

> п≤п╥ п╡п╟я─п╦п╟п╫я┌п╬п╡ я└п╦п╨я│п╟я├п╦п╦ п╢п╩я▐ п©я─п╬п╨я│п╦п╪п╟п╩я▄п╫п╬пЁп╬ п╦ п╢п╦п╟я└п╦п╥п╟ п╠п╣п╢я─п╟ п╡я▀п╠я─п╟п╩п╦
> п©п╩п╟я│я┌п╦п╫я┐, п╟ п©п╬ п©п╬п╡п╬п╢я┐ п╟я─я┌я─п╬п©п╩п╟я│я┌п╦п╨п╦ п╬я│я┌п╟п╣я┌я│я▐ п╡п╬п©я─п╬я│ п╪п╣п╤п╢я┐ я┌п╬я┌п╟п╩я▄п╫я▀п╪ п╦п╩п╦
> пЁп╣п╪п╦.
>
> п²п╟ п╡я│я▐п╨п╦п╧ я│п╩я┐я┤п╟п╧ п╥п╟п©п╩п╟п╫п╦я─п╬п╡п╟п╩п╦: п╨п╬я─п╬я┌п╨п╦п╧ п╦ п╢п╩п╦п╫п╫я▀п╧ п╡п╟я─п╦п╟п╫я┌ п╫п╬п╤п╨п╦.
>
> п²п╟ 13п╧ п╢п╣п╫я▄ пЁп╬я│п©п╦я┌п╟п╩п╦п╥п╟я├п╦п╦ п©п╬я▐п╡п╦п╩п╟я│я▄ п╡я▀я│п╬п╨п╟я▐ я┌п╣п╪п©п╣я─п╟я┌я┐я─п╟, п©п╬я│п╣п╡ п╦п╥ п╨я─п╬п╡п╦
> п©п╬п╩п╬п╤п╦я┌п╣п╩я▄п╫я▀п╧ п╫п╟ Enterococcus. CXR (Chest X-ray) п©п╬п╨п╟п╥я▀п╡п╟п╣я┌ п©я┐п╩я▄п╪п╬п╫п╟я─п╫я▀п╧
> п╦п╫я└п╦п╩я▄я┌я─п╟я┌.
>
> п·п©п╣я─п╟я├п╦я▐ п╬я┌п╩п╬п╤п╣п╫п╟ п╢п╬ я─п╟п╥я─п╣я┬п╣п╫п╦я▐ я┌п╣п╪п©п╣я─п╟я┌я┐я─я▀. п п╬п╫я│я┐п╩я▄я┌п╟я├п╦я▐ п╦п╫я└п╣п╨я├п╦п╬п╫п╦я│я┌п╟,
> п╟п╫я┌п╦п╠п╦п╬я┌п╦п╨п╦ Vancomycin п╦ Zosyn п╡п╫я┐я┌я─п╦п╡п╣п╫п╫п╬. п²п╟ 2п╧ п╢п╣п╫я▄ я│ п╫п╟я┤п╟п╩п╟ я┌п╣я─п╟п©п╦п╦
> п©п╬п╡я┌п╬я─п╫я▀п╧ п©п╬я│п╣п╡ п╨я─п╬п╡п╦ п©п╬п╨п╟п╥п╟п╩ п╬я┌я─п╦я├п╟я┌п╣п╩я▄п╫я▀п╧ я─п╣п╥я┐п╩я▄я┌п╟я┌. п═п╟п╫я▀ п╤п╦п╡п╬я┌п╟ я┐я┬п╦я┌я▀
> п©п╣я─п╡п╦я┤п╫п╬-п╬я┌я│я─п╬я┤п╣п╫п╫я▀п╪п╦ я┬п╡п╟п╪п╦, п╦ я┤п╣я─п╣п╥ п╢п╡п╣ п╫п╣п╢п╣п╩п╦ я│п╬я│я┌п╬я▐п╫п╦п╣ я┐п╩я┐я┤я┬п╦п╩п╬я│я▄.
>
> п²п╟ 25 п╢п╣п╫я▄ я│ п╪п╬п╪п╣п╫я┌п╟ я┌я─п╟п╡п╪я▀ п╬п©п╣я─п╟я├п╦я▐ п╫п╟ Jackson table я│ п╠п╬п╨п╬п╡я▀п╪ п╬п╠я┬п╦я─п╫я▀п╪
> п╢п╬я│я┌я┐п©п╬п╪. пёп╢п╟п╩п╣п╫п╦п╣ я│я┌п╣я─п╤п╫п╣п╧ я│ п╪п╣я│я┌п╫п╬п╧ п╬п╠я─п╟п╠п╬я┌п╨п╬п╧. п▓ я┌п╟п╥п╬п╠п╣п╢я─п╣п╫п╫п╬п╪
> я│я┐я│я┌п╟п╡п╣ я┐п╢п╟п╩п╣п╫п╦п╣ пЁп╬п╩п╬п╡п╨п╦, п╫п╟ п╢п╫п╣ п╡п╣я─я┌п╩я┐п╤п╫п╬п╧ п╡п©п╟п╢п╦п╫я▀ п©п╬п╩п╫п╟я▐ п╬я┌я│п╩п╬п╧п╨п╟
> я┘я─я▐я┴п╟. п▓п╣я─я┌п╩я┐п╤п╫я▀п╧ п╨п╬п╪п©п╬п╫п╣п╫я┌ я│ п╬п╢п╫п╦п╪ п╡п╦п╫я┌п╬п╪ п╦ п╨п╬я─п╬я┌п╨п╟я▐ п╫п╬п╤п╨п╟ -  Fitmore
> press fit stem. п²п╟ п╡я┌п╬я─п╬п╧ п╢п╣п╫я▄ п╬п╢п╫п╬п╨я─п╟я┌п╫п╬ п╢п╬п╥п╟ я─п╟п╢п╦п╟я├п╦п╦ п╢п╩я▐ п©я─п╬я└п╦п╩п╟п╨я┌п╦п╨п╦
> пЁп╣я┌п╣я─п╣я┌п╬п©п╦я┤п╣я│п╨п╬п╧ п╬я│я│п╦я└п╦п╨п╟я├п╦п╦.  п÷п╬я│п╩п╣п╬п©п╣я─п╟я├п╦п╬п╫п╫я▀п╧ п©п╣я─п╦п╬п╢ п╠п╣п╥ я┌п╣п╪п©п╣я─п╟я┌я┐я─я▀.
> п▓я▀п©п╦я│п╟п╫п╟. п²п╟пЁя─я┐п╥п╨я┐ я─п╟п╥я─п╣я┬п╦п╩п╦ п╫п╟ п╩п╣п╡п╬п╧ я│я┌п╬я─п╬п╫п╣, п╟ п©п╬п╩п╫п╟я▐ п╡ 3 п╪п╣я│.  п≈п╢п╣я│я▄
> я│п╫п╦п╪п╨п╦ п©я─п╦ п╟п╪п╠я┐п╩п╟я┌п╬я─п╫п╬п╪ п╫п╟п╠п╩я▌п╢п╣п╫п╦п╦Б─▀: п©п╬я│п╩п╣п╬п©п╣я─п╟я├п╦п╬п╫п╫п╬, 2 п╪п╣я│, 3 п╪п╣я│ п╦ 6
> п╪п╣я│. п²п╟пЁя─я┐п╥п╨п╟ п©п╬п╩п╫п╟я▐, п╬я┌я│я┐я┌я│я┌п╡я┐п╣я┌ я┘я─п╬п╪п╬я┌п╟, п╦ п╫п╣я┌ п╤п╟п╩п╬п╠.
>
> Б─▀
> Djoldas Kuldjanov, MD
> Professor Dept. of Orthopaedic Surgery
> Saint Louis University
> Chief of Ortho Trauma, Mercy Hospital
>
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>
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