MEDICAL AND DIAGNOSTIC MEASURES FOR DAMAGE TO THE ABDOMINAL ORGANS IN THE WOUNDED AND VICTIMS WITH CATATRAUMA AGAINST THE BACKGROUND OF EXPLOSIVE AND TECHNOGENIC INJURIES

Summary. In the context of a large-scale war of the russian federation against Ukraine, the problem of injuries received as a result of catatrauma is urgent. Materials and methods. 203 cases of catatrauma-related injuries were analyzed. 128 such wounded were examined and treated. Results and their discussion. 4 clinical groups of wounded and injured people were identified. The severity of injuries was assessed by the number of affected abdominal organs (AO), the nature and extent of their injuries. There are 4 types of falls highlighted. Leading symptoms: peritoneal (16.3 % of cases), symptoms of intra-abdominal bleeding (38.6 %), urinary tract symptoms (3.2 %). In 50.2 % of cases, these symptoms were combined with simultaneous damage to the hollow and parenchymal organs. One of the most frequently damaged organs in catatrauma is the spleen. Surgical tactics for wounds associated with catatrauma are presented in detail, and an algorithm for the treatment and diagnostic process for catatrauma is developed. Conclusions. In the conditions of war, there is a need to develop a clear algorithm of actions, which includes identification of the site of damage, a complex of studies and consultations of related specialists is necessary, taking into account the development of possible complications and deaths, which also requires a number of detailed diagnostic techniques. The developed algorithms of the diagnostic approach in various cases of catatrauma allow us to form practical actions for paramedics and medical personnel.