Assessment of the condition of victims of various gunshot wounds of the abdomen from the civilian population

Introduction. In modern conditions, unfortunately, military conflicts do not subside, our country is no exception. In addition to servicemen who are directly involved in military actions, civilians often suffer.
Purpose of the study. To evaluate the condition of the injured in case of shrapnel and bullet wounds of the abdomen in civilian population.
Materials and methods of the study. The study was conducted on 165 patients from the civilian population who received gunshot wounds of the abdomen. All patients were in the zone of military operations during the Chechen campaign and in the zone of special military operation. There were 108 (65,4 %) male patients and 57 (34,5 %) female patients, i.e. male patients predominated. The mean age of the wounded was 36 ± 6 years. Patients with gunshot wounds of the abdomen older than 18 years were included. Wounded patients younger than 18 years of age with combined wounds of the chest, head, and extremities were excluded. Medical histories were used as primary documentation. The number of the wounded included in the study, received during the Chechen campaign, amounted to 98 (59,4 %) people, and during the special military operation – 67 (40,6 %). All the wounded were divided into two groups: group A and group B. Group A included the wounded with shrapnel wounds of the abdomen, group B – gunshot wounds. Group A included 87 (52,7 %) people, group B – 78 (47,2 %), in whom the main parameters of vital activity were studied.
Results. The study analyzed the condition of wounded civilians who received shrapnel and bullet wounds. As a result, it was found that in case of shrapnel wounds of the abdomen the severity of the condition is determined by the presence of pain syndrome, the more pronounced the pain syndrome, the greater the probability of shock development, and the severity of pain reaction, first of all, influences the degree of shock, then the volume of blood loss. At gunshot wounds of the abdomen the obtained results were somewhat different, so, in the first place was such an indicator as the volume of blood loss, then signs of anemia, and in the third place - pain syndrome.
Conclusion. The conducted study shows that gunshot wounds of the abdomen lead to serious changes in the body of the wounded person, which is caused by several factors: pain syndrome, blood loss, all this, in turn, triggers the mechanism of hemorrhagic shock development, which also contributes to the aggravation of the victim.

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