Резюме. В статті представлені діагностичні можливості спектральної інфрачервоної термографії в ході лікування вогнепальних поранень м'яких тканин. Показано, що під час високочутливої спектральної термографії пошкодженої анатомічної структури треба дотримуватись наступних принципів: зупинка кровотечі (яка створює «динамічно – не стабільний» термографічний фон) , фіксація пошкодженої анатомічної структури в нерухомому положені, дотримання відстані від діагностованої поверхні, порівняння з неушкодженою протилежною ділянкою.
During the conflict in the East of Ukraine, there was a need to
provide one-stage specialized surgical care to a significant number of wounded
with fire-fighting wounds of soft tissues at various stages of the wound process and with heterogeneous pathogens of early infection, if any. The outlined situation
demanded from the surgeons of different specialties the ability to timely and
adequately diagnose the phases of the development of the early process, taking
into account the characteristics of the pathogen by indirect signs from the side of
the affected tissues, which, taking into account the lack of time, the experience of
treating massive wounds in recent years, the lack of adequate provision and
shortage of personnel has caused significant difficulties in providing assistance.
The purpose of the study: to study the features and structure of gunshot
wounds in soft tissues during hostilities in the East of Ukraine. Conduct an analysis
of the effectiveness of measures to assist servicemen with wounds of the
specified character by the levels of treatment and evacuation support. To establish
the efficiency of spectral infra-red thermography using the FLIR system in
the diagnosis and development of the direction of treatment of gunshot wounds
of soft tissues.
Conclusions. 1. VMPT in 62.9% of cases was caused by debris of mine explosive
devices. Gun wounds were found in 11.5% of wounded. Insole wounds of
soft tissues without damage to major vessels and nerves were observed in 67.9%
of wounded. 32.1% were injured with such injuries.
2. In surgical treatment of VRMT wounds, radical removal of all non-viable
tissues: detritus, blood convections, sites of smashing, extraneous bodies, and
the use of effective methods of drainage of the wound in the "limits" of temperature
indices not lower than 27.4 0С.
3. During the high-sensitivity spectral thermography of the damaged anatomical
structure, the following principles should be observed: stopping the
bleeding (which creates a "dynamically-unstable" thermographic background),
fixing the damaged anatomical structure in a stationary position, observing the
distance from the diagnosed surface, comparing with the intact opposite area.
В статье представлены диагностические возможности
спектральной инфракрасной термографии в ходе лечения огнестрельных
ранений мягких тканей. Показано, что при высокочувствительной спектральной термографии поврежденной анатомической структуры нужно
придерживаться следующих принципов: остановка кровотечения (которая
создает «динамично -не стабильный» термографический фон), фиксация
поврежденной анатомической структуры в неподвижном положении, соблюдение расстояния от диагностированной поверхности, сравнение с неповрежденной противоположной участком .
