Scientific activity

Research work of the department is conducted on the basis of the National Medical Center of the Republic of Tajikistan (NMC RT). Employees of the department and clinical residents conduct research work and, according to its results, publish articles and abstracts in various scientific publications. In addition, the staff of the department and clinical residents take an active part in the work of scientific - practical conferences and congresses of the republican scale.

The main scientific directions of the department.

Theme: "Correction of homeostasis in severe craniocerebral trauma".

         Relevance: victims with a craniocerebral trauma, combined with other injuries, represent the most complex contingent of patients with respect to both diagnosis and treatment. With a combined trauma, extracranial lesions significantly affect the pathogenetic features of craniocerebral trauma, aggravate the condition of the victim due to the large blood loss and development of shock. Hypoxia, hypercapnia, cerebral circulation impairment and large blood loss lead to severe impairment of brain function and central respiratory depression, resulting in the development of a nonspecific lung lesion - a «shock lung» (SL) leading to the development of acute respiratory failure (ARF) in patients with severe co-occurring trauma. This is noted in 20 - 30% of patients who underwent a severe stage of shock (V.A. Negovsky, A.M. Gurevich, 1979; G.G. Radzivil, A.M. Musarev, 1980). According to many authors (V.L. Kassil, 1981, E. Kolesnikova, 1992) in patients with combined trauma and blood loss, "SL", depending on the stage, is a fairly common cause of death after a successful resuscitation and ranges from 20 to 90%.

         It is expected that an analysis of the above research results will provide an opportunity to develop intensive care tactics and reduce the level of mortality in this category of patients.

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