Chest trauma in the scientific school of academician E.A. Wagner
Goal. Analyze the formation of a system for studying breast trauma in the scientific school of Acad. E. A. Wagner in order to identify the main objective prerequisites for changing surgical tactics. Methods. Theses, author's abstracts of dissertations, monographs and a number of articles by Academician Ye.A.Wagner and his students. Materials of central, local and departmental archives were studied. A number of information was obtained by interviewing. Results. Predecessors in the study of chest trauma was surgeons A. P. Sokolov and D. M. Razzhivin (disciples of Professor V. N. Parin) and pathophysiology Professor R. B. Tsinkalovsky.The main direction of the scientific school of E. A. Wagner, was the study of chest trauma. The need for these studies was the result of acute social importance of the problem of chest trauma, personal experience and appearance available endotracheal anesthesia. Under pathophysiological studies in experimental and clinic were identified periodization respiratory distress syndrome on the basis of data for dynamic control of ventilation, gas exchange lung function, contractile and pump function of the heart.Surgical tactics in severe combined trauma depends on the severity of life-threatening disorders caused by dominant damage.The combination of radiation exposure with traumatic disease characterized by the development of «syndrome of mutual aggravation». The phase flow of the combined radiation reflected in the treatment strategy. The leading place in therapy of massive blood loss was given to reinfuse, with damage to of hollow organs in life-threatening situations should not be a contraindication. In experimental models has been proven safety of autologous blood transfusion contaminated. The desire to reduce surgical trauma is made possible by the development of fiber-optic technology. The big advantage was the possibility of transferring diagnostic thoracoscopy in the treatment procedure.In the study and comparison of scientific schools of economic, technical, and medical disciplines. Were identified five characteristics of the scientific school: the presence of revolutionary ideas (the active surgical tactics in case of injury of the chest), presence of a leader (E. A. Wagner), organizational infrastructure (laboratory, Central research laboratory, more than 18 departments of the Institute participated in the integrated studies), practical application (research results formed the basis of the recommendations of the Ministry of health of the USSR and the Russian Federation) and recognition (E. A. Wagner elected member. Q. Medical Sciences of the USSR since 1980 and a full member in 1986). Students and colleagues of the Acad. E. A. Wagner, have established their research teams and have their own followers and associates.