КОНТРАСТИВНАЯ ЭВАЛЬВАЦИЯ ВАРИАНТНОСТИ ТЕМПЕРАТУРЫ ТЕЛА БОЛЬНЫХ С ТЯЖЕЛЫМ ТРАВМАТИЧЕСКИМ ШОКОМ ПРИ ДИАМЕТРАЛЬНЫХ ЛИКВИДУСАХ ОКРУЖАЮЩЕЙ СРЕДЫ

Objective − implementation of contrasting evaluation of body temperature variance in patients with severe traumatic shock in case of diametrical environmental liquiduses at the stages of emergency medical care and hospital. Materials and methods. The study included 63 patients with severe traumatic shock which were distributed into 6 groups depending on environment liquidus at the moment of occurrence of commotion. Body temperature was measured in all patients at emergency medical care and hospital stages, followed by synective accounting. Results. Synective accounting found evident favorable body temperature variability in the victims at all study points. Materialized paired contrast recorded true body temperature variability in the groups I and II, II and III, III and IV, IV and V, V and VI. The implemented multiple comparison demonstrated a steady temperature exponent divergence between the groups throughout the research period. Conclusions. In victims with severe traumatic shock, thermal regulation imbalance occurs already at the stage of emergency medical care and continues at the hospital stage from 24 to 48 hours, depending on the range of environmental liquidus at the time of commotion. The degree of thermoregulation disorders in victims with severe traumatic shock also depends on the range of environmental liquidus at the time of commotion. Unheated infused solutions used in the anti-shock treatment program also contribute to the imbalance of thermal regulation in patients with severe shock. For purposefully and individualized reduction of the degree of thermoregulation disorders in victims with severe traumatic shock, it is rational to use heated infusion solutions in the anti-shock treatment program at both the emergency medical care and hospital stages (taking into account the environment liquidus at the time of commotion).