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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">smp</journal-id><journal-title-group><journal-title xml:lang="ru">Скорая медицинская помощь</journal-title><trans-title-group xml:lang="en"><trans-title>EMERGENCY MEDICAL CARE</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-6716</issn><publisher><publisher-name>Northwest State Medical University named after II Mechnikov</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/2072-6716-2016-17-3-39-45</article-id><article-id custom-type="elpub" pub-id-type="custom">smp-154</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>СКОРАЯ МЕДИЦИНСКАЯ ПОМОЩЬ В СТАЦИОНАРЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>INTRAHOSPITAL EMERGENCY MEDICAL CARE</subject></subj-group></article-categories><title-group><article-title>СКОРАЯ МЕДИЦИНСКАЯ ПОМОЩЬ В СТАЦИОНАРЕ ОСОБЕННОСТИ ПЕРВОГО ЭТАПА ТАКТИКИ МНОГОЭТАПНОГО ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ (DAMAGE CONTROL) ПРИ НЕСТАБИЛЬНЫХ ПЕРЕЛОМАХ ТАЗА</article-title><trans-title-group xml:lang="en"><trans-title>INTRAHOSPITAL EMERGENCY MEDICAL CARE FEATURE OF THE FIRST STAGE OF DAMAGE CONTROL SURGERY TACTICS IN UNSTABLE PELVIS FRACTURES</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Самохвалов</surname><given-names>И. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Samohvalov</surname><given-names>I. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Борисов</surname><given-names>М. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Borisov</surname><given-names>M. B.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кажанов</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kazhanov</surname><given-names>I. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Денисенко</surname><given-names>Василий Владимирович</given-names></name><name name-style="western" xml:lang="en"><surname>Denisenko</surname><given-names>V. V.</given-names></name></name-alternatives><email xlink:type="simple">vasiljjdenisenko@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Микитюк</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikityuk</surname><given-names>S. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гребнев</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Grebnev</surname><given-names>A. R.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рева</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Reva</surname><given-names>V. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Военно-медицинская академия им. С.М. Кирова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Military Medical Academy named after S.M. Kirov</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>23</day><month>12</month><year>2016</year></pub-date><volume>17</volume><issue>3</issue><fpage>39</fpage><lpage>45</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Самохвалов И.М., Борисов М.Б., Кажанов И.В., Денисенко В.В., Микитюк С.И., Гребнев А.Р., Рева В.А., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Самохвалов И.М., Борисов М.Б., Кажанов И.В., Денисенко В.В., Микитюк С.И., Гребнев А.Р., Рева В.А.</copyright-holder><copyright-holder xml:lang="en">Samohvalov I.M., Borisov M.B., Kazhanov I.V., Denisenko V.V., Mikityuk S.I., Grebnev A.R., Reva V.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://smp.spb.ru/jour/article/view/154">https://smp.spb.ru/jour/article/view/154</self-uri><abstract><p>Проведен анализ клинических наблюдений 148 пострадавших с сочетанной травмой таза. Из них 83 пострадавших составили группу клинических наблюдений, при лечении которых применена тактика многоэтапного хирургического лечения, 65 - группу ретроспективного анализа лечения с применением консервативных способов. Оценивали эффективность вне- и чрезбрюшинной тампонады таза и их особенности, частоту развития летальных исходов и осложнений при применении различных методов лечения, в том числе с применением эндоваскулярных методов гемостаза при внутритазовых кровотечениях.</p></abstract><trans-abstract xml:lang="en"><p>The analysis of clinical observations 148 patients of the associated trauma, were hospitalized at the clinic of military surgery, Military Medical Academy. Of these, 83 patients were the group of clinical observations, in which treatment is the concept of damage control surgery, 65 - a group of retrospective analysis of conservative treatment. Evaluated the effectiveness of the method extraperitoneal and transperitoneal pelvic tamponade, and especially the incidence of deaths and complications in the application of different treatments, including endovascular methods of hemostasis at pelvis bleeding.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>травма таза</kwd><kwd>переломы костей таза</kwd><kwd>временная стабилизация таза</kwd><kwd>внутритазовое кровотечение</kwd><kwd>тампонада таза</kwd><kwd>pelvic injury</kwd><kwd>pelvic fractures</kwd><kwd>temporary pelvic stabilization</kwd><kwd>intrapelvic hemorrhage</kwd><kwd>pelvic tamponade</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Анкин Л.Н., Пипия Г.Г., Анкин Н.Л. 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