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<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Challenges in modern medicine</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.18413/2687-0940-2020-43-1-123-134</article-id><article-id pub-id-type="publisher-id">15</article-id><article-categories><subj-group subj-group-type="heading"><subject>SURGERY</subject></subj-group></article-categories><title-group><article-title>ANALYSIS OF RESULTS OF TREATMENT OF GUNSHOT WOUNDS OF THE NECK IN CASE OF MASS ENTRY OF THE CIVILIAN POPULATION INTO CONDITIONS OF LOCAL ARMED CONFLICT</article-title><trans-title-group xml:lang="en"><trans-title>ANALYSIS OF RESULTS OF TREATMENT OF GUNSHOT WOUNDS OF THE NECK IN CASE OF MASS ENTRY OF THE CIVILIAN POPULATION INTO CONDITIONS OF LOCAL ARMED CONFLICT</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Proshin</surname><given-names>Alexey G.</given-names></name><name xml:lang="en"><surname>Proshin</surname><given-names>Alexey G.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Masljakov</surname><given-names>V. V.</given-names></name><name xml:lang="en"><surname>Masljakov</surname><given-names>V. V.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Voronov</surname><given-names>V. V.</given-names></name><name xml:lang="en"><surname>Voronov</surname><given-names>V. V.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Aristova</surname><given-names>I. S.</given-names></name><name xml:lang="en"><surname>Aristova</surname><given-names>I. S.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Gorbelik</surname><given-names>Viktor R.</given-names></name><name xml:lang="en"><surname>Gorbelik</surname><given-names>Viktor R.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2020</year></pub-date><volume>43</volume><issue>1</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2020/1/123-134.pdf" /><abstract xml:lang="ru"><p>The study is based on a retrospective analysis of 129 cases of gunshot wounds to the neck. The ages of the wounded ranged from 18 to 65. All the wounded were treated in the surgical hospital of the city hospital No. 9 of the Grozny Chechen Republic. All injuries were received during the local hostilities in the Republic of Chechnya between 1991 and 2000. The analysis presented shows that the volume of primary pre-medical care provided to the civilian population with gunshot wounds was usually insufficient, resulting in the severity of the condition of the wounded and increasing fatality. Such assistance should be deployed outside the zone with the consequences of the possible collapse of high-rise buildings, outside the terrorist firing zone, in the absence of a cluster of relatives of the victims and curious. At the same time, develop directions aimed at training as many people as possible in self-help and mutual assistance in various urgent conditions, which can be carried out through civil defence fees.</p></abstract><trans-abstract xml:lang="en"><p>The study is based on a retrospective analysis of 129 cases of gunshot wounds to the neck. The ages of the wounded ranged from 18 to 65. All the wounded were treated in the surgical hospital of the city hospital No. 9 of the Grozny Chechen Republic. All injuries were received during the local hostilities in the Republic of Chechnya between 1991 and 2000. The analysis presented shows that the volume of primary pre-medical care provided to the civilian population with gunshot wounds was usually insufficient, resulting in the severity of the condition of the wounded and increasing fatality. Such assistance should be deployed outside the zone with the consequences of the possible collapse of high-rise buildings, outside the terrorist firing zone, in the absence of a cluster of relatives of the victims and curious. At the same time, develop directions aimed at training as many people as possible in self-help and mutual assistance in various urgent conditions, which can be carried out through civil defence fees.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>gunshot wounds to the neck</kwd><kwd>civilians</kwd><kwd>local armed conflict</kwd></kwd-group><kwd-group xml:lang="en"><kwd>gunshot wounds to the neck</kwd><kwd>civilians</kwd><kwd>local armed conflict</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>1. Abakumov M.M. 2005. Okazanie hirurgicheskoj pomoshhi pri massovom postuplenii postra-davshih v stacionary megapolisa ⦋Provision of surgical assistance in case of mass admission of victims to hospitals of the metropolis⦌. Surgery. Journal named after N.I. Pyrogova; 8: 88&amp;ndash;90.</mixed-citation></ref><ref id="B2"><mixed-citation>2. Abakumov M.M., Dzhagraev K.R. 1998. Diagnostika i lechenie ranenij shei ⦋Diagnosis and treatment of neck wounds⦌. Surgery; 8: 10&amp;ndash;13.</mixed-citation></ref><ref id="B3"><mixed-citation>3. Abakumov M.M., Pogodina A.N., Lemenev V.A., Iofik V.V. 2005. Ranenija shei ⦋Neck wounds⦌. Journal of Surgery; 2: 105.</mixed-citation></ref><ref id="B4"><mixed-citation>4. Burenkov G.I. 2011. Hirurgicheskaja obrabotka ognestrel&amp;#39;nyh ran shei ⦋Surgical treatment of gunshot wounds of the neck⦌. Journal of Otorhinolaryngology; 3: 20&amp;ndash;23.</mixed-citation></ref><ref id="B5"><mixed-citation>5. Goncharov S.F., Dzheliev I.Sh., Rozinov V.M., Tihilova M.I., Petlah V.I. 2004. Sovershenstvovanie medicinskoj pomoshhi detjam s ognestrel&amp;#39;nymi ranenijami grudi i zhivota ⦋Improvement of medical care for children with gunshot wounds to the chest and abdomen⦌. Science and technology news. Series: medicine. Medicine of accidents. Disaster Medicine Service; 3&amp;ndash;4: 24&amp;ndash;27.</mixed-citation></ref><ref id="B6"><mixed-citation>6. Gumanenko U.K., Samohvalov I.M. 2001. Voenno-polevaja hirurgija lokal&amp;#39;nyh vojn i vooru-zhennyh konfliktov ⦋Military field surgery of local wars and armed conflicts⦌. М: Geotar-media. 672 p.</mixed-citation></ref><ref id="B7"><mixed-citation>7. Zavrazhnov A.A., Samohvalov I.M., Eroshenko A.V. 2006. Hirurgicheskaja taktika pri raneni-jah shei v uslovijah lechebnogo uchrezhdenija mirnogo vremeni ⦋Surgical tactics for neck injuries in a peacetime treatment facility⦌. Journal of Surgery; 5: 50&amp;ndash;55.</mixed-citation></ref><ref id="B8"><mixed-citation>8. Korovkina E.N. 2014. Ranenija shei ⦋Neck wounds⦌. Surgery; 11: 92&amp;ndash;94.</mixed-citation></ref><ref id="B9"><mixed-citation>9. Masljakov V.V., Barsukov V.G., Kurkin K.G., Uskov A.V., Kulikov S.A., Pimenov A.V. 2018. Obem okazanija pervichnoj dovrachebnoj mediko-sanitarnoj pomoshhi licam iz naselenija s ognestrel&amp;#39;nymi ranenijami v uslovijah lokal&amp;#39;nogo vooruzhennogo konflikta ⦋Volume of provision of pri-mary pre-medical health care to persons from the population with gunshot wounds in conditions of local armed conflict⦌. Medicine of disasters; 2: 30&amp;ndash;33.</mixed-citation></ref><ref id="B10"><mixed-citation>10. Masljakov V.V., Barsukov V.G., Uskov A.V. 2017. Nekotorye slozhnye i nereshennye vo-prosy diagnostiki ognestrel&amp;#39;nyh ranenij shei v uslovijah lokal&amp;#39;nogo vooruzhennogo konflikta ⦋Some com-plex and unresolved issues of diagnosis of gunshot wounds to the neck in local armed conflict⦌. Messen-ger of the young scientist; 3: 19&amp;ndash;21.</mixed-citation></ref><ref id="B11"><mixed-citation>11. Mosjagin V.B., Chernysh A.V., Ryl&amp;#39;kov V.F., Koshelev T.E., Moiseev A.A. 2011. Organizaci-ja okazanija medicinskoj pomoshhi i lechenija legkoranenyh i legkobol&amp;#39;nyh v voennom polevom jev-akuacionnom gospitale ⦋Organization of medical care and treatment of light and light patients in the mili-tary field evacuation hospital⦌. Journal of the Russian Military Medical Academy; 1 (33): 232&amp;ndash;240.</mixed-citation></ref><ref id="B12"><mixed-citation>12. Samohvalov I.M., Zavrazhnov A.A., Fahrutdinov A.M., Sychev M.I. 2001. Okazanie hirur-gicheskoj pomoshhi ranenym v sheju v vooruzhennom konflikte ⦋Surgical care for the wounded in the neck in armed conflict⦌. Military medical journal; 10: 32&amp;ndash;40.</mixed-citation></ref><ref id="B13"><mixed-citation>13. Trunin E.M., Mihajlov A.P. 2004. Lechenie ranenij i povrezhdenij shei ⦋Treatment of injuries and neck injuries⦌. SPb: ELBI-SPb. 158 p.</mixed-citation></ref><ref id="B14"><mixed-citation>14. Trunin E.M., Smirnov V.Ju., Shabonov A.A. 2006. Racional&amp;#39;naja taktika lechenija ranenij shei v uslovijah mnogoprofil&amp;#39;noj klinicheskoj bol&amp;#39;nicy skoroj medicinskoj pomoshhi ⦋Rational tactics for treat-ing neck injuries in a multidisciplinary clinical emergency hospital⦌. Emergency medical service; 4: 59&amp;ndash;64.</mixed-citation></ref><ref id="B15"><mixed-citation>15. Shatrova N.V., Obereshin V.I. 2019. Uslovija uspeshnogo osvoenija prakticheskih navykov provedenija bazovoj serdechno-legochnoj reanimacii studentami mladshih kursov medicinskogo vuza&amp;nbsp;⦋Conditions of successful mastering of practical skills of carrying out basic cardiovascular resuscitation by students of junior courses of medical university⦌. Medicine of disasters; 3: 53&amp;ndash;55.</mixed-citation></ref><ref id="B16"><mixed-citation>16. Shvyrkov M.B., Burenkov G.I., Demenkov V.R. 2001. Ognestrel&amp;#39;nye ranenija lica, LOR-organov i shei ⦋Gunshot wounds to the face, LOR organs and neck⦌. М: Medicine. 400 p.</mixed-citation></ref><ref id="B17"><mixed-citation>17. Back M.R., Baumgartner F.J., Klein S.R. 1997. Detection and evaluation of aerodigestive tract injuries caused by cervical and transmediastinal gunshot wounds J. Trauma; 4: 680&amp;ndash;686.</mixed-citation></ref><ref id="B18"><mixed-citation>18. Bladergroen M.R., Lowe J.E., Postlethwalt M.D. 1986. Diagnosis and recommended man-agement of esophageal perforation or rupture. Ann Thorac Surg; 42: 235&amp;ndash;239.</mixed-citation></ref></ref-list></back></article>