Among the features of surgical care for patients with COVID-19 are the need for strict compliance with the epidemiological regime, minimizing the number of staff in the operating room, the possible minimization of surgical interventions and reducing their duration. The most important task in these conditions is the safety of personnel. Materials and methods. The results of surgical treatment of 85 pa-tients with acute surgical pathology are presented, and the presence of the virus was confirmed by the results of laboratory tests in 75.3 %. 24.7 % of patients had a clear picture of pneumonia of viral etiology with a high probability. All operations were performed in compliance with the epidemiological regime by pre-trained and instructed per-sonnel in compliance with the rules of asepsis and antiseptics. Discussion of results. There are no fundamental changes in the tac-tics of management of patients with acute surgical pathology. Howev-er, in the presence of the patient, in addition to acute surgical disease, COVID-19 and viral pneumonia of varying severity, it is necessary to take into account the increased risk of both bacterial and thrombo-embolic complications. Conclusions. Given the limitations caused by the spread of COVID-19, emergency surgical care should be provided to all pa-tients in a timely, highquality and complete manner. Any action of the emergency surgical service must be justified by the specific situa-tion, with the absolute priority of public and patient safety.
Abstract. Purpose of work. Study of sources of domestic and world literature on the problem of diagnosing post-traumatic disorders in patients with concomitant thoracic trauma. According to the literature, the features of the diagnosis of post-traumatic disorders and the possibility of using various methods when using laboratory and instrumental studies in patients with concomitant thoracic trauma were determined. Materials and methods. A review of the authors’ references on the bases of literary sources on laboratory and instrumental studies in patients with concomitant thoracic trauma is carried out. Conclusions. To improve the results of reducing the level of possible complications and their correction, it is necessary to develop complex clinical, instrumental and laboratory differential diagnostic criteria with the definition of biochemical markers, as well as their pathogenetic justification for improving tactics and increasing the effectiveness of intensive therapy in patients of this category.
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