Characteristics of changes in velocity and volume parameters of microcirculation in patients with severe combined chest trauma, depending on clinical outcome
The results of the correlation analysis between the speed and volume indices of microcirculation with the severity of the damage, the level of human consciousness after 4 hours after injury. Between all the microcirculation and domestic scales and severity of damage weak relationship is set. For the severity of impairment of consciousness and severity of the damage on the scale of Injury Severity Score shows a weak relationship with the maximum systolic velocity, averaged over the cardiac cycle speed of blood flow volume rate and a moderate negative correlation with peak systolic and systolic volume rate of flow curve of average speed, average linear and average volume flow velocity curve of average speed. The changes within the microcirculation of traumatic disease, depending on the clinical outcome. The most pronounced changes were found in the group of patients with lethal outcome. After 4 hours after injury for all indicators of microcirculation in this group is not a statistically significant difference from the control group and the surviving victims. One day after the injury for this group compared with survivors show lower values of maximum systolic systolic volumetric blood flow rates mean velocity curve. On day 5 in this group compared with surviving victims revealed lower values for the average cardiac cycle flow velocity and mean blood flow velocity curve of average speed. For 5 days in this group compared with the values after 4 h after injury and the values in the control group showed a statistically significant lower maximum systolic velocity, the average linear and the mean volume of blood flow velocity curve of average speed, volume rate, systolic volume rate curve average speed. The changes revealed microcirculation can be used to predict an adverse outcome