2017
DOI: 10.18821/0869-2106-2017-23-6-331-336
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The Phenomenon of «second Hit» After Operations of Osteosynthesis in Case of Poly-Trauma

Abstract: In case of poly-trauma the early operations of osteosynthesis under fractures of long bones, unstable fractures of pelvis and backbone bones being an operational trauma, can provoke progression of inflammatory reaction, development of systemic complications and poly-organ inadequacy i.e. causing a «second hit» effect. The pathophysiologic mechanisms of «second hit» phenomenon are complicated and they are implementing by means of modulation of immune response. The risk of development of the given phenomenon dep… Show more

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