Формирование клинического диагноза у пострадавших с взрывной травмой

The analysis results of clinical diagnoses of 195 victims of the explosion at the station, Octyabrskaya of Minsk subway in April 11, 2011 who sought for the medical help on the attack day are presented in the article. The aim of the study is to evaluate the compliance of diagnoses to the basic principles of construction and formulation of diagnosis in patients with the explosive trauma. As a result of this analysis the most common errors in the construction of diagnoses have been revealed as well as in the description of the morphological characteristics of lesions. The most common problems in medical specialists have been found out to cause the discrimination of the terms mixed and combined trauma. Particular attention is paid to the preservation of clinical characteristics of the state severity of the wounded in the final diagnosis. The necessity of knowledge of pathogenesis of the explosive injuries and basic principles of their classification for the correct formulation of the diagnosis has been shown.