Epidemiology of severe joint craniocerebral traumas, occurence of acute gastric and duodenal erosion s, some issues of pathogenetic mechanisms

F. I. ALIYEV, E.A.ABDULLAYEV

Baku Clinical Hospital No 1, Baku, AZERBAIJAN

As severe joint traumas are at severe critical stages under the conditions of modern technical development, it continues to grow long with urgetn problems of medicine. During the carried out investigations, there was noted dynamic development in the number of common traumas in 2008-2010, and there was observed increase in the specific weight of joint traumas. Thus, severe joint traumas were observed in 331 (33,9) patients of 996 patients that were admitted in 2008, in 548 (50,5%) patients of 1084 admitted in 2009, in 622 (53,9%) of 1153 patients admitted in 2010. As is seen, along with increase in the numberof traumas within 3 year, there was observed increase in the number of joint traumas - 17,3% (2009) – 20,6% (1010). In 2008, in 17 (5.8%) of patients with joint traumas there was observed acute erosions and ulcers of gastric and duodenal system complicated with bleedings. In 2009, complications with bleeding were observed in 13 (2,3%), in 2010 in 11 (1,7%) patients. Decrease in the number of acute erosion and complication of ulcers with bleedings ws obtained in the results of complex treatment adnd prophylactic measures. As a reault of examination of patients with bleeding complications it was found that in these patients indicators of vagoinsulary and enterine systems were high at early stages. Exacerbation of inflammatory processes and development of infections, complications of acute erosions and ulcers with bleeding against the background og hypertermias were obsrved at further stages. At this stage there was determined increase of the results of immune lysis reations, and lower limits of coagulogramma indicators (prothrombin) in blood. There was observed increase in the number of free sialic acid and bile acids in the gastric contents. In the results of statistic investigations it become clear, that against the background of the increase in the number of general traumas, there was observed increase in the numberof joint traumas and specific weights of the severity. As aresults of regulation of vagoinsulary and enterine systems, formtion of acute erosions and ulcers, early prophylactics of bleeding complications and treatment measures there was observed dynamic reductions in their number.

Based on the results of examinations the role of pathogenetic mechanisms was clarified.

Thus, despite the increase in the number and severity of joint traumas against the background of traumas, early prophylactics and treatment measures plays a great role in the reduction of foration of acute erosions and ulcers, and reduction of occurence rate of bleeding complications.

Date: 2014-12-28; view: 947