Global Journal of Medical Research, F: Diseases, Volume 22 Issue 1

The logistic factor, which determines the duration of treatment and the timeliness of diagnostic and therapeutic procedures, depending on the severity of the injuries, plays the most essential role in the therapeutic efficacy in concomitant trauma [9].The key to success at the stages of diagnosis and determination of treatment tactics is the first "golden" hour of hospitalization, during which it provides an opportunity for the survival of victims with associated trauma. Of the 118 hospitalized patients with associated injuries, 73 (62%) patients came to the RSCEMA within 1 hour from the moment of injury, 18 (10%) - 2 hours, 9 (5%) - 5 hours, 18 (10%) - more than 5 hours. The severity of the injury was assessed using the ISS scale [8]. Assessment of the severity of the injury showed that among them, injuries of a critical degree prevailed - 31 (26.3%) patients, 63 severe (53.4%) and 24 moderate (20.3%). Among children with concomitant trauma, 64 (54.2%) were admitted in consciousness, 14 (11.9%) - in a state of stunning, 7 (5.9%) - in a soporous state, 33 (28%) - in various degrees of coma. Determination of the dominant trauma is one of the most difficult sections in the treatment of victims with concomitant trauma. In the analyzes carried out by our center with combined trauma, in 85 (72%) cases, abdominal injuries were the dominant trauma, which posed the greatest threat to the victim's life. In most cases, with combined abdominal trauma, liver damage was noted in 40 (33.9%) cases, spleen - 39 (33%), kidney - 6 (5.08%), small intestine - 6 (5.08%), large intestine - 2 (1.7%) and gallbladder - 2 (1.7%). (Diagram 3). Figure 3: Frequency of injuries to the abdominal organs in concomitant injuries in children. In our observations, the source of hemoperitoneum was mainly damage to the liver and spleen. According to the classification of injuries of parenchymal organs AATS (American Association of Trauma Surgery, 1994) - the American Association of Injury Surgery, a shortened scale of injuries, where 5 degrees of severity are distinguished [8,10], damage to the spleen I degree was noted in two cases (5.1%); grade II spleen injury was observed in 3 (7.7%) patients; III degree - in 14 (35.9%) patients; IV degree - in 20 (51.3%) victims, respectively. Grade V damage to the spleen was not observed. First-degree liver damage was detected in 8 (20%) patients; second degree - in 12 (30%); the third - in 14 (35%); the fourth - in 6 (15%). the fifth degree of degree of damage was not revealed in our patients. n [ЗНАЧЕНИЕ] n [ЗНАЧЕНИЕ] n [ЗНАЧЕНИЕ] n [ЗНАЧЕНИЕ] n [ЗНАЧЕНИЕ] n [ЗНАЧЕНИЕ] n 40 0 5 10 15 20 25 30 35 40 45 COLON GALL BLADDER SMALL INTESTINE KIDNEY SPLEEN NO DAMAGE DETECTED LIVER Frequency of abdominal injuries in associated injuries, n = 118 15 Year 2022 Global Journal of Medical Research Volume XXII Issue I Version I ( D ) F © 2022 Global Journals Problems of Early Diagnosis of the Abdominal Cavity with Concomitant Abdominal Trauma in Children