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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vestim</journal-id><journal-title-group><journal-title xml:lang="ru">Известия Национальной  академии наук Беларуси. Серия медицинских наук</journal-title><trans-title-group xml:lang="en"><trans-title>Proceedings of the National Academy of Sciences of Belarus, Medical series</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-6023</issn><issn pub-type="epub">2524-2350</issn><publisher><publisher-name>The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.29235/1814-6023-2020-17-2-152-157</article-id><article-id custom-type="elpub" pub-id-type="custom">vestim-671</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL AND EXPERIMENTAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Сравнительная оценка структуры госпитальной летальности при тяжелой механической травме за 2005–2006 и 2014–2015 гг.</article-title><trans-title-group xml:lang="en"><trans-title>Comparative assessment of the hospital letality structure during severe mechanical injury for 2005–2006 and 2014–2015 years</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Романовский</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Romanovskiy</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Романовский Евгений Владимирович – аспирант</p><p>ул. Петруся Бровки, 3/3, 220013, г. Минск</p></bio><bio xml:lang="en"><p>Evgeniy V. Romanovskiy – Postgraduate student</p><p>3/3, P. Brovka Str., 220013, Minsk</p></bio><email xlink:type="simple">romanovsky.evgeny@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волошенюк</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Voloshenyuk</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Волошенюк Александр Николаевич – канд. мед. наук, доцент</p><p>ул. Петруся Бровки, 3/3, 220013, г. Минск</p></bio><bio xml:lang="en"><p>Aleksndr N. Voloshenyuk – Ph. D. (Med.), Assistant Professor</p><p>3/3, P. Brovka Str., 220013, Minsk</p></bio><email xlink:type="simple">info@belmapo.by</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сердюченко</surname><given-names>Н. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Serdiuchenko</surname><given-names>N. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сердюченко Николай Сергеевич – член-корреспондент, д-р мед. наук, профессор, академик-секретарь Отделения медицинских наук НАН Беларуси</p><p>пр. Скорины, 66, 220072, г. Минск</p></bio><bio xml:lang="en"><p>Nikolai S. Serdiuchenko – Corresponding Member, D. Sc. (Med.), Professor, Academician-Secretary of the Department of Medical Sciences of the National Academy of Sciences of Belarus</p><p>66, Nezavisimosti Ave., 220072</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Завада</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zavada</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Завада Николай Васильевич – д-р мед. наук, профессор</p><p>ул. Петруся Бровки, 3/3, 220013, г. Минск</p></bio><bio xml:lang="en"><p>Nikolai V. Zavada – D. Sc. (Med.), Professor</p><p>3/3, P. Brovka Str., 220013, Minsk</p></bio><email xlink:type="simple">info@belmapo.by</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ладутько</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Ladutsko</surname><given-names>I. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ладутько Иван Николаевич – заведующий отделением</p><p>ул. Кижеватова, 58, 220024, г. Минск</p></bio><bio xml:lang="en"><p>Ivan N. Ladutsko – Head of the Department</p><p>58, Kizhevatov Str., 220024, Minsk</p></bio><email xlink:type="simple">minsk.bsmp@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Белорусская медицинская академия последипломного образования</institution></aff><aff xml:lang="en"><institution>Belarusian Medical Academy of Postgraduate Education</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Президиум Национальной академии наук Беларуси</institution></aff><aff xml:lang="en"><institution>Presidium of the National Academy of Sciences of Belarus</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Городская клиническая больница скорой медицинской помощи</institution></aff><aff xml:lang="en"><institution>City Clinical Emergency Hospital</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>05</day><month>06</month><year>2020</year></pub-date><volume>17</volume><issue>2</issue><fpage>152</fpage><lpage>157</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Романовский Е.В., Волошенюк А.Н., Сердюченко Н.С., Завада Н.В., Ладутько И.Н., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Романовский Е.В., Волошенюк А.Н., Сердюченко Н.С., Завада Н.В., Ладутько И.Н.</copyright-holder><copyright-holder xml:lang="en">Romanovskiy E.V., Voloshenyuk A.N., Serdiuchenko N.S., Zavada N.V., Ladutsko I.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vestimed.belnauka.by/jour/article/view/671">https://vestimed.belnauka.by/jour/article/view/671</self-uri><abstract><p>В статье проводится сравнительная оценка данных 131 истории болезни и протоколов вскрытия умерших от тяжелой механической травмы в 2005–2006 гг. в отделении сочетанной травмы УЗ «9-я городская клиническая больница» г. Минска с данными 133 историй болезни и протоколов вскрытия умерших от тяжелой механической травмы в 2014–2015 гг. в отделении сочетанной травмы УЗ «Городская клиническая больница скорой медицинской помощи» г. Минска. В ходе исследования определены общие закономерности и различия в структуре и динамике летальности при сочетанной травме, что позволяет научно обосновать организационные мероприятия по совершенствованию медицинской помощи при тяжелых механических повреждениях с целью улучшения результатов диагностики и лечения пострадавших на раннем госпитальном этапе.</p></abstract><trans-abstract xml:lang="en"><p>The article provides a comparative assessment of data from 131 medical histories and autopsy protocols for those who died from severe mechanical trauma in 2005–2006 in the combined trauma unit of the medical institution “9th City Clinical Hospital” in Minsk with data on 133 case histories and autopsy reports of dead from severe mechanical injury in 2014–2015 in the combined trauma unit of the “City Clinical Emergency Hospital in Minsk”. During the study, general patterns and differences in the structure and dynamics of mortality in combined injuries were determined, which allows us to scientifically substantiate organizational measures to improve medical care for severe mechanical injuries in order to improve the results of diagnosis and treatment of victims at an early hospital stage.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>тяжелая механическая травма</kwd><kwd>сочетанная травма</kwd><kwd>политравма</kwd><kwd>летальность</kwd><kwd>шкала оценки тяжести травмы ISS</kwd></kwd-group><kwd-group xml:lang="en"><kwd>severe mechanical trauma</kwd><kwd>combined injury</kwd><kwd>polytrauma</kwd><kwd>mortality</kwd><kwd>scale assessing the ISS severity</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Zavada N. V. Medical care for victims with combined trauma in a multidisciplinary hospital. 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