ESTIMATION OF POSSIBILITIES OF ULTRASONIC DIAGNOSTICS OF POSTTRAUMATIC PULMONITIS AT A GUNSHOT WOUND OF BODIES OF A THORACIC CAVITY IN DYNAMICS

Bunin Yu. V., Mykhailusov R. M., Negoduyko V. V., Popova O. M., Khoroshun E. M.

METHODS AND METHODOLOGIES

Scentific article

Abstract. Introduction. Gunshot penetrating wound of the thoracic cavity is considered one of the most severe, has a high mortality rate compared to blunt trauma, historically the mortality rate from these wounds exceeded 50% The aim of the study was to analyze approaches to the diagnosis of post-traumatic pulmonitis in patients with UCP injury involving the lungs using ultrasound. Object and methods of research. The material for the study were 68 wounded with UCP injury and lung damage in the period from 1 day to 30 days after injury. All of the wounded had penetrating gunshot wounds were male and had wounds from one half of the chest. The mean age was 29±3.1 years. The data of ultrasound examination of the lungs after a gunshot wound in the period from 1 to 30 days were analyzed. Ultrasound was performed using an ultrasound scanning device «Voluson E6» (Germany) expert class with sensors: linear SP (6-12 MHz); convex 4 C-D (2-5 MHz). Results of the research. On the first, third and fifth day after the gunshot wound, ultrasound manifestations of interstitial syndrome, pleural effusion, pneumothorax, alveolar-interstitial syndrome predominate; on the seventh day – interstitial syndrome, pleural effusion, consolidation; on the fourteenth day – interstitial syndrome, emphysematous changes, consolidation, pleural effusion; on the twenty-first day – emphysematous changes, consolidation, interstitial syndrome; on the twenty-eighth day – the norm, emphysematous changes, consolidation. Conclusions. Ultrasound examination of the chest allows you to reliably and non-invasively determine the extent of lung tissue damage and is a safe method of diagnostic control of treatment. The use of ultrasound examination of the chest in trauma can be recommended as standard and mandatory in the initial diagnosis and control of treatment.

ultrasound examination, lungs, gunshot wound, pulmonitis.

1. Sokolova YeP. Ekhografiya v diagnostike vnutrilegochnykh zabolevaniy i oslozhneniy u postradavshikh s zakrytoy travmoy grudi [dysertatsiia]. M.: PMGMU im. I.M. Sechenova; 2016. 23 s. [in Russian].
2. El Saied AM, Rizk WH. Penetrating Chest Injuries after Egyptian Revolution. Clinics in surgery. 2020;5:1082-1085.
3. Zarutsʹkyy YAL, Bilyy VYA. Voyenno-polʹova khirurhiya. K.: Feniks; 2018. 552 s. [in Ukrainian].
4. Khomenko IP, Herzhyk KP, Kucher BM. Mistse ta rolʹ videotorakoskopichnykh operatyvnykh vtruchanʹ pry boyovykh poranennyakh ta travmakh orhaniv hrudnoyi klitky. Visnyk Vinnytsʹkoho natsionalʹnoho medychnoho universytetu. 2018;22(3):522-524. [in Ukrainian].
5. Petrikov SS, Popova IYe, Abuchina VM, Muslimov RSH, Khamidova LT, Popugayev KA, et al. Diagnosticheskiye vozmozhnosti ul’trazvukovoy diagnostiki izmeneniy legkikh po sravneniyu s komp’yuternoy tomografiyey pri COVID-19. Sechenovskiy vestnik. 2020;11(2):5-18. DOI: https://doi. org/10.47093/2218-7332.2020.11.2.5-18. [in Russian].
6. Nikravan S. Lung ultrasound [Internet]. Netherlands: Philips Healthcare. 2019. Available from: https://www.youtube.com/ playlist?list=PLUkApVTR3 S-6PEaS-By1kru1qqNqUEcRI.
7. Starostin DO, Kuzovlev AN. Rol’ ul’trazvukovogo issledovaniya legkikh pri COVID-19. Vestnik anesteziologii i reanimatologii. 2020;17(4):23- 30. DOI: https://doi.org/10.21292/2078-5658-2020-17-4-23-30. [in Russian].
8. Tukhtaev UT, Afanasyeva NI, Znamensky IA, Yumatova EA, Gorbunova TS. Rol’ ul’trazvukovogo issledovaniya v raspoznanii povredzheniy grudnoy kletki pri sochetannykh travmakh. Vestnik RGMU. 2012;1:30-33. [in Russian].

«Bulletin of problems biology and medicine» Issue 2 (160), 2021 year, 173-176 pages, index UDK 616.24-073.082.4:616.712-001.45

10.29254/2077-4214-2021-2-160-173-176