A method of predicting multiple organ VIOLATIONS TO DETERMINE THE OPTIMAL TIME OF osteosynthesis in combined and multiple injuries to children

摘要

Multiple organ disorders prediction method to determine the optimal time for osteosynthesis, comprising a set of laboratory evaluation of biochemical parameters, characterized in that in the first hours after the trauma in the concentrations of serum protein markers S100 and cystatin C: S100 312,2-587,8 ​​initial protein concentration ng / l and cystatin C 832,8-1062 ng / mL followed by two more and increase them for 1-4 days are regarded as manifestations of serious disturbances of brain metabolism and kidney optimize the overall treatment is carried out not earlier than the delayed osteosynthesis 5-7 days ; protein starting concentrations S100 103,8-292,0 ng / l Cystatin C, and 541-967 ng / ml, with a consequent increase of at least twice or decrease in the 1st and subsequent days are regarded as disturbances of the brain metabolism and renal functional reversible the nature and the optimal time for osteosynthesis say 1-4 hours from the time of injury.