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

摘要

A method of predicting multiple organ disorders to determine the optimal time for osteosynthesis, comprising a plurality of laboratory evaluation of biochemical parameters, characterized in that in the first hours after the trauma determined combination of markers 2 - S100 protein and cystatin C: Initial value S100 protein 312,2-587, 8 ng / l cystatin C 832,8-1062 ng / ml followed by two or more increase over the 1-4 days regarded as manifestation of severe disorders of brain metabolism and kidney optimize the overall treatment is conducted deferred wasps teosintez no earlier than 5-7 days; Sources of protein values ​​S100 103,8-292,0 ng / l Cystatin C, and 541-967 ng / ml, followed by increasing at least twice or decrease in the 1st and subsequent days are regarded as disturbances of the brain metabolism and kidney reversible functional character and the optimal time for osteosynthesis consider 1-4 hours after trauma.